All subjects Flashcards
Categorise Left and right shunts into cyanotic and acyanotic
Right to Left = Cyanotic (blue)
Left to Right = Acyanotic (breathless)
List 2 cyanotic/blue/right to left heart defects
- ToF
- TGA
List 5 acyanotic/pink/breathless/left to right heart defects
- AS/coarc
- PS
- VSD
- ASD
- PDA
List the mixed presentation of blue and breathless heart defects
- AVSD
List 2 outflow obstructions that are asymptomatic with a murmour
- PS
- AS
List 2 outflow obstructions that presents with a sick neonate
- Coarc of aorta
- HLHS
Use of drugs in paediatric cardiac disease
Heart failure management
- Duiretics
- Captopril (ACE inhibitor)
- Calorie input PRN
DD lesions
- Prostaglandins
Collapsed infant/emergency
- ABCD
Hypercyanotic episodes (more than 15 mins
- Morphine for sedation and pain relief
- IV propanolol (beta blocker)
- Fluids
- Bicarb for acidosis
- MM paralysis and artificial intubation to reduce o2 need
List duct dependant lesions
- HLHS
- TGA
- Interuption of aortic arch, coarc aorta, AS
- Critical PS
Features of ToF
- VSD
- PS
- RV hypertrophy
- Overriding aorta
Associated syndromes with VSD
T21
Fetal alcohol syndrome
Associated syndromes with ASD
- Fetal alcohol syndrome
- Noonans syndrome
Associated syndromes with AS and coarc of aorta
- Turners syndrome 45XO
- Williams syndrome
Associated syndromes with PS
- Warfrin use during pregnancy
- Noonans syndrome
Associated syndromes with AVSD
T21 downs
Cardiac complications of kawasakis
coronary aa aneurysm