Peds - Acquired Cardiovascular Flashcards
Hypertension -
how is diagnosis established?
At least 3 measurements
>95th percentile per published tables for height and weight
Typical causes of HTN in children? (2)
HTN secondary to another disease
aldosterone problem
renovascular disease
HTN workup (8)
X-ray cortisol level (first thing in AM) aldosterone level UA BMP CBC cholesterol and triglycerides ECG
What condition is being ruled in or out with cortisol level in HTN workup?
Cushing’s syndrome
HTN signs and symptoms (6)
headache dizziness nosebleed visual problems respiratory distress irritability
NP management of HTN in children
Manage initial work up
Refer to cardiology
JNC-7 / 8
Rheumatic fever
cause?
age?
affects which body systems? (3)
post-infection with group A strep
most common in ages 6 - 15
heart
joints
CNS
Which valve is most commonly affected by Rheumatic fever?
Mitral valve
permanent damage
What criteria are used to diagnose Rheumatic fever?
Jones’ criteria -
2 major
OR
1 major + 2 minor
Jones criteria - MAJOR manifestations (4)
carditis polyarthritis chorea erythema marginatum - confluent, circular subcutaneous nodules
Jones’ criteria - MINOR manifestations (4)
PROLONGED PR INTERVAL on ECG #
arthralgia sans objective inflammation
fever >39 C (102.2 F)
elevated ESR and CRP
Management of Rheumatic fever
manage workup/diagnostics
aggressive management of strep infection
refer to pediatric cardiologist
Kawasaki
acute febrile syndrome causing vasculitis
Typical age for Kawasaki
under 2 years
Kawasaki symptoms
“Firey CRASH”
Fever
Conjunctivitis - bilateral Rash - polymorphous, pruritic Adenopathy - cervical Strawberry tongue (can also have peeling lips) Hands - desquamation
