Paediatrics Flashcards

1
Q

Name the 6 grades of murmur

A
  1. Soft
  2. Ok
  3. Loud
  4. Loud + thrill
  5. Thrill + heard with steth edge
  6. Thrill + heard with steth off
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2
Q

Murmur: name 7 ways to recognize a pathological one.

A
Sx
Cyanosis 
Grade 3 or higher 
Thrill
Diastolic
Abnormal heart sounds 
Pulse abnormally strong or weak
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3
Q

When does the ductus arteriosis close?

A

Functionally - a few days

Anatomically - a few weeks

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4
Q

What does the PDA allow?

Where is the PDA

A

Bypass of blood away from the lungs and into the aorta.

PDA is a duct from the pulmonary trunk to the aorta

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5
Q

What structure links the atria?

A

Foramen ovale

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6
Q

At what age is most congenital heart disease Dx?

Why are murmurs not always detected before then?

A
One month (Sx by then)
Flow is too low to be heard.
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