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26 Cards in this Set
- Front
- Back
What is the treatment for a kid with shock, acidosis, lethargy, poor feeding, nasal flaring and sweating while eating at DOL 4 ?
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prostaglandins (CHF from coarc)
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If a child has formula mixed with well water, what could their cyanosis be from?
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methemoglobinemia
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What's the lesion? cyanosis, pulmonary edema, single S2 and short systolic murmur, normal sized heart with pulmonary congestion
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TAPVR
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What are normal o2 sats on the right side of the heart?
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close to 70
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What's the lesion? precordial hyperactivity and loud S2, severe CHF and marked cardiomegaly; normal until PDA closes (no murmur)
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hypoplastic left heart syndrome (no murmur even with open PDA)
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What's the lesion? single 2nd heart sound, egg shaped heart, increased pulmonary vascularity, cyanosis
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Transposition of the great arteries
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If a kid has transposition, what's the most important drug?
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prostaglandin E (ductal dependent)
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How do you assess for digoxin toxicity in a child?
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Check PR interval on EKG (want borderline 1st degree heart block)
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2 wk hx of lethargy, low grade fever, splenomegaly, petechiae, systolic ejection click at apex, diastolic murmur on the right
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endocarditis
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How do you confirm and dx of endocarditis?
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blood culture
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What is the most common organism for acute bacterial endocarditis?
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staph aureus
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What is the most common organism for SUBacute bacterial endocarditis?
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strep viridans
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What is the most common cause of myocarditis
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coxsackie B virus
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If you see pulsus paradoxius, EKG with low voltage abnormal T waves and ST depression what should you think of ?
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myocarditis
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What if you see pulsus paradoxus with JVD and muffled heart sounds?
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pericardial effusion
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Name that murmur: left lower sternal border, pansystolic
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VSD
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Lithium during pregnancy causes what cardiac defect?
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Ebstein's anomaly
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Alcohol during pregnancy causes what anomaly?
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VSD/ASD
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What should you think of with a CRANIAL bruit
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Vein of Galen aneurysm and congestive heart failure
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What congenital heart defects are associated with left axis deviation
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Tricuspid atresia and AV canal defects
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What is the FIRST thing to do in a stable patient in SVT?
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Get 12 lead EKG
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What is the first thing to do in an unstable patient with SVT?
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adenosine if you have an IV, cardiovert if you don't
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AV block with widened QRS is at risk for what?
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seizures and syncope from decreased blood flow
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With unrepaired cyanotic heart disease, what puts you at higher risk for stroke?
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polycythemia with relative iron deficiency (so a normal hct is bad)
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Most likely long term complication of repaired coarc?
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hypertension
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Teenager with fixed split S2, LUSB murmur, no click and exercise intolerance
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ASD
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