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PEDS Rotation > Peds Cardiology > Flashcards

Peds Cardiology Flashcards

1
Q

Paroxysmal Suparvent Tachy presentation?

A

Palpitations (P described as CP)

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2
Q

Paroxysmal SVT tx?

A

If sustained: Vegal, Adenosine (acute)

B-block (mgmt)

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3
Q

Normal HR < 6mo?

6mo-1yr

1-5yr

5-12yr

12+

A

145

135

110-120

85

80

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4
Q

Atrial Septal Defect due to?

A

ostium secundum or primum defect

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5
Q

Atrial Septal Defect presentation?

Tx?

A

U asympt

Most close by 12 mo
P diuretic if sxs w/ activity/feeding
Surgery by 3-4yo

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6
Q

Ventral Septal Defect causes what kind of shunt?

Results in?

A

Systolic, to lungs and L heart

Inc pulmonary flow –» pulmonary HTN

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7
Q

VSD presentation?

A

Tachy/tachy
SOB
Cyanosis

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8
Q

VSD tx?

A

Diuretics

Surgery

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9
Q

Ductus Arteriosis is?

Patent Ductus Arteriosis is?

A

Normal shunt b/w pulmonary and aorta in babies (sends blood to lower body)

DA still open after 3 mo

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10
Q

Patent Ductus Arteriosis results in?

Sxs?

Tx?

A

Inc pulmonary artery flow –» pulm HTN

Tachy/tachy
SOB
Cyanosis

Indomethacin
Surgery

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11
Q

Tetralogy of Fallot is?

A

VSD
Pulmonic stenosis or pulmonary atresia
Overriding aorta
Right ventricular hypertrophy

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12
Q

TOF sxs?

A

Cyanotic spells w/ waking or exertion:

Uncontrollable crying, rapid/deep breathing, convulsions –»

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13
Q

TOF spell tx?

A

BREAK THE CYCLE
Morphine/Ketamine
Phenylephrine (anti-hist)
B-block

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14
Q

Rheumatic Fever Jones Criteria?

A 
PRECEDING STREP INFECTION
2 of: Carditis
 Polyarthritis
 Sydenham chorea
 Erythema marginatum
 Subcutaneous nodules
Or 1 + 1 of:
  Fever
  Inc SED
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15
Q

Rheumatic Fever tx?

A

PCN or Azith
ASA
Long-term PCN prophy (Q 4 wks for yrs)

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16
Q

Kawasaki Dz is?

A

Leading cause of acquired heart dz (U <5yo)

Cause unknown

17
Q

Kawasaki Dz dx?

A 
FEVER 5+ days AND 4+ of:
Conjunctivitis
Oral inflamm/cracking (strawberry tongue)
Unilat cervical LAD
Red, swollen, peeling hands/feet
Rash
18
Q

Kawasaki Dz complications?

A

Coronary aneurysms
Myocarditis
Pericarditis
Valvular heart disease

19
Q

Kawasaki Dz tx?

A

IVIG and high-dose aspirin

Serial echos

PEDS Rotation (10 decks)

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