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16 Cards in this Set

  • Front
  • Back
Transposition of great vessels
Lower extremities lesscyanotic than upper extremities, egg-shaped heart, narrow mediastinum, severe cyanosis
Ebstein anomaly
Massive cardiomegaly, holosystolic murmur over whole (1) anterior chest sounds like pericardial friction rub,extraSYstole present
Truncus arteriosus
No (or mild) cyanosis, wide pulse pressure, systolic ejection murmur with thrill in (L) sternal border, single loud2ndheartsounds
Single ventricle
Mild cyanosis, (L) parasternal heave, loud 2ndheartsound with split, 3rd heart sound followed by mid-diastolic rumbling murmur.
Hypoplastic (L) heart syndrome
Grayish blue skin color, weakor absent peripheral pulses, (R) ventricular heave, small (L) ventricular pattern, a nondescript systolic murmur, cardiomegaly, and hepatomegaly.
Pulmonary arteriovenous fistula
Pulmonary arteriovenous fistula
VSD
Asymptomatic, a loud, harsh or blowing, holosystolic murmur in (L) lower sternal border and hrill. Large VSD due to pulmonary overflow present with dyspnea, poor feeding, and poor growth.
Eisenmenger syndrome
Pulmonary hypertension with reversed shunting or bidirectional shunting. Patient appears in 2ndor 3rd decade of life with cyanosis, dysrythmia, and dyspnea; a right ventricular heave, a split 2ndheartsound; a holosystolic murmur of tricuspid regurgitation and an early decrescendo murmur of pulmonic insufficiency
Atrial septal defect
Systolic ejection murmur best heardi n (L) middle and upper sternal border, wide split 2nd heart sound in all phases of respiration.
Atrioventricularseptal defect (endocardial cushion defect or ostium primum and atrioventricular canal)
Congestive cardiac failure, intercurrent pulmonary infection, a mid-diastolic rumbling murmur with thrill due toVSD, split 2ndheart sound and pulmonary systolic ejection murmur. EKG: characteristics (L) axis deviation.
PDA
Harsh systolic murmur or grating or swishing type present in (L) upper sternal border near2nd interncostal space, bounding peripheral pulses, machinery or rolling thunder murmur in older child.
m.
Pulmonary stenosis
Well-developed, well
Aortic coarctation
Weakness (orpain) in both legs after exercise, diminished pulse andblood pressure more inlower extremities than upper, a systolic murmur along sternal border at3rdand 4thintercostals spaces and transmitted along left infrascapular area; high BP in upper extremities.
TAPVR
Oxygen in (R) side ofheart more than in (L) side ofheart, "snowman sign" (figure eight).
Aortic stenosis
Sudden death, systolic ejection murmur with thrill in aortic are radiate towards neck and apex.
Mitral valve prolapse
Rule out scoliosis, late systolic murmur at apex with click
Peripheral pulmonic stenosis
Clinical manifestations are dominated by associated anomalies (e.g., TOF); a soft, systolic murmur can be heard over both lungs