Pulmonary stenosis

Question 1

Pulmonary stenosis clinical features

Answer 1

1. Mainly assymptomatic unless critical stenosis

Question 2

Pulmonary stenosis on examination of pt

Answer 2

1. Ejection systolic murmur at the left sternal edge
2. Clear on auscultation and low O2 sats
3. Weak pulse

Question 3

Pulonary stenosis murmur

Answer 3

Ejection systolic murmur at the upper left sternal edge

Radiates to the back

Question 4

Ix of Pulmonary stenosis

Answer 4

1. Chest Xray - Oligaemic ( lacking blood because of stenosis in pulmonary valve )
2. CBG - acidotic, hypoxic
3. Echo - critical PS
4. ECG - Right ventricular hypertrophy

Question 5

Pulmonary stenosis - how does it present

Answer 5

2 days with cyanosis

Question 6

Mx of pulmonary stenosis

Answer 6

1. Most children are assymptomatic

2. Transcatheter balloon dilatation