Cardiology

Question 1

subacute bacterial endocarditis: presentation

Answer 1

fever, murmurs, neurological stuff, general,

Question 2

how do you dx subacute bacterial endocarditis

Answer 2

Blood culture is definitife

echocardiogram

Question 3

management of sub-acute bacterial endocarditis

Answer 3

antibitics

Question 4

Kawasaki syndrome

Answer 4

idiopathic disease of young children mostly under 5that has complications of vasculitis
conjunctivitis
non vesicular rash
oral inflammation
edema or redness of extremeties: balloon hands and feet

Question 5

DX of Kawasaki syndrome

Answer 5

WBC increased with left shift, and mild anemia

elevated CRP and ESR and echocardiogram.

Question 6

management of Kawasaki syndrome

Answer 6

hospital, IV immunoglobulin before day 10 of illness
high dose ASA,
NO steroids
bedrest

Question 7

signs of congenital heart problems

Answer 7

CHF signs
cyanosis, palor
poor nursing or lethargy, failure to thrive

Question 8

what causes cyanosis

Answer 8

right to left shunt bypassing heart

tetraology of fallot

Question 9

peripheral pulmonary stenosis

Answer 9

accentuated after feeding or crying

short midsystolic medium pitch back left axilla

Question 10

Mitral valve prolapse

Answer 10

mostly female
mid to late systolic click and late systolic murmur
Dx with echo or holter moniter

Question 11

Atrial septal defect:

Answer 11

abnormal opening between atria with left to right shunt
patent foramen ovale
mid systolic murmur
T21

Question 12

ventricular septal defect

Answer 12

open between ventricles
L to R shunt
holosytolic murmur, that presents at week 2-3

Question 13

patent ducturs arterousus

Answer 13

persistence of fetal circulation: acyanotic
chassic machinery murmur
cardiologis

Question 14

tetralogy of fallout

Answer 14

4 combined defects
- pulmonary stenosis
- VSD
- overriding aorta
- Hypertrophy of Rt ventricle
gradual onset of cyanosis with spells

Question 15

arrhythmias

Answer 15

diagnosed wit hECG