peds cardio Flashcards
Acyanotic Heart Defects 3
Atrial septal defect (ASD)
Ventricular septal defect (VSD)
Patent ductus arteriosus (PDA)
do Acyanotic Heart Defects require prostagladins
no
Normal S1
Fixed split of S2
Grade 2-3/6 systolic ejection murmur at LUSB
ASD
ASD: Treatment decision to close
Decision to close depends on RA & RV dilation
Most common congenital heart defect
Ventricular Septal Defect
diaphoesis with feeding
VSD
where is the most common VSD
Muscular
Most commonly seen in premature newborns and newborns with primary pulmonary HTN
Patent Ductus Arteriosus (PDA)
95% of term newborns the ductus closes within 72 hours of birth
TRUTH
Cause of cyanosis in newborn with lower ext sats < upper ext sats
PDA
Bounding pulses, wide pule pressure
Continuous “machinery-like” murmur at LUSB/axilla
PDA
Cyanotic Heart Defects treatment
prostaglandins
Cyanotic Heart Defects
5T
Tetralogy of Fallot (TOF)
Transposition of the great arteries (TGA)
Truncus arteriosus
Total anomalous pulmonary venous return (TAPVR)
Tricuspid atresia
Most common cyanotic defect
TOF
4 conditions with TOF
VSD
PS/RVOT obstruction
Overriding aorta
RVH
Boot shaped heart on X ray
TOF
TOF associated with
DiGeorge syndrome
Obstructive Heart Defects 2
- Obstruction to Pulmonary Blood Flow
2. Obstruction to Systemic Blood Flow
Can be followed conservatively for valve gradient < 40mmHg by echo
pulmonary stenosis
Associated bicuspid aortic valve
Associated with Turner syndrome
Coarctation of the Aorta
Associated with bicuspid aortic valve
aortic stenosis
Complete mixing of systemic and pulmonary venous return blood within the atria
Hypoplastic Left Heart Syndrome
Cardiac Sports Screening goal
Preventing sudden cardiac death
what are the three innocent murmers
Still’s murmur (systolic)
Venous hum murmur (continuous)
Peripheral pulmonary stenosis (systolic)
standing position what happens to the murmers
- HCM
- MVP
- AS
- HCM: Inc
- MVP: Inc
- AS: Dec
Valsalva position what happens to the murmers
- Innocent
- HCM
↓ Innocent heart murmur
↑ HCM
Most common innocent heart murmur
stills
4 catagories that get PGE
- signs and symptoms
- 5 buzz words
- obstructive
- abnormal testing (pulse ox)