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