Peds Cards Flashcards
- Systolic Ejection Murmur pulmonically
- Commonly asympto, but heave, fatigability possible.
- Right axis deviation on EKG; ECHO
- Surgical Repair
Atrial Septal Defect
- Most common congenital heart malformation
- Holosystolic murmur at LLSB with right vent. heave
- Sxs: FTT, tachypnea, diaphoresis with feeds
- MC L to R shunt
- Surgical repair depending on size
Ventricular Septal Defect
- Loud S2 murmur which develops with time
- Common kids with Down
- Extreme left axis deviation; ECHO test of choice
- Tx: Surgery
Atrioventricular Septal Defect
-Continuous machine type murmur
-FTT, Tachypnea, diaphoresis with feeds
-Echo
-Surgery
-Persistence of normal fetal vessel joining pulmonary artery to aorta
IV: Indomethacin
Patent Ductus Arteriosus
Absent/diminsihed femoral pulses
Coarctation of the aorta
1) Ventricular septal defect; 2) right ventricular hypertrophy; 3) plum. artery stenosis/right ventricular outflow obstruction; 4) aorta originating over defect
- Hypoxic spells during infancy; cyanosis
- Systolic Ejection Murmur at ULSB
Terology of Ferlot
- Systemic immune response 2-3 weeks p beta-hemolytic strep pharyngitis
- Pos. Sequela: rigidity/deformity of valve cusps (rarely pulmonic). Shortening/fusion of chordae tendinae
- Jones criteria
- PCN
Rheumatic fever
-Unclear cause; no specific test
-Vasculitis
-Leading cause of acquired heart disease in children in US
-Sx/Dx: Fever >5 days and at least 4: 1) bilat, painless, nonexudative conjunctivitis, 2) lip or oral cavity changes (strawberry tongue); 3) Cervical LAD; 4) polymorphous exanthem; 5) extremity changes (redness and swelling of hands/feet with desquamation)
Tx: Imunoglobin; high dose ASA
Kawasaki
- Leading cause of sudden cardiac death in young people
- Often asymptomatic. Exercise intolerance, palpitations, syncope possible
- Dx: EKG normal to deep Q waves
- Tx: Depends on extent. No competitive sports.
Hypertrophic cardiomyopathy
