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Pediatrics PLE > Cardiology > Flashcards

Flashcards in Cardiology Deck (24):
1

Most common valvular involvement in children with Rheumatic Heart Disease

Mitral Regurgitation

2

Systolic regurgitant murmur, Grade II-IV/VI at the apex with transmission to the left axilla

Shortened leaflets due to fibrosis
Dilated LA & LV

S1 normal or diminished; S2 widely split; loud S3

Mitral Regurgitation

3

Most common valvular involvement in adults

Mitral Stenosis

4

Weak peripheral pulses with narrow pulse pressure

Loud S1 at the apex and narrow split S2 with loud P2

Opening snap is followed by a low frequency mitra diastolic rumble at the apex

Mitral Stenosis

5

High-pitched diastolic murmur heard best at the 3rd-4th LICS, more easily audible when sitting and leaning forward

LV enlargement, dilated ascending aorta and prominent aortic knob

Aortic Regurgitation

6

Most common valvular heart disease

Mitral Valve Prolapse

7

Palpitation due to supraventricular arrhythmias or PV beats

Chest pain not associated with MI, exertional dyspnea, syncope and low BP

Systolic click

Mitral valve prolapse

8

Systolic ejection murmurs: 2nd LICS with a widely split S2

Atrial Septal Defect

9

Systolic ejection murmurs: 2nd LICS with radiation to the upper back

Pulmonic stenosis

10

Systolic ejection murmurs: 2nd RICS with radiation to the upper back

Aortic Stenosis

11

Systolic ejection murmur: 3rd-4th LICS with radiation to the interscapular area

Coarctation of aorta

12

Systolic Regurgitation Murmurs: Left lower sternal border

Ventral Septal Defect

13

Systolic Regurgitation Murmurs: Left lower sternal border with radiation to the left anterior axillary line

Mitral Regurgitation

14

Couer en sabot/Boot shaped heart

Surgery: Blalock Taussig

Tetrallogy of fallot

15

Egg-shaped Cardiac Silhoutte

Transposition of the great arteries

16

Figure of 8 sign/ Snowman sign

Total Anomalous Pulmonary Venous Return

17

Rib notching

Coarctation of Aorta

18

Major Criteria for Infective Endocarditis

(+) blood culture (2)
Evidence of endocarditis on echocardiography

19

Empirical therapy for patients without a prosthetic valve in Infective endocarditis

Vancomycin plus Gentamycin

20

Fever, spiking up to 40C and persisting > 5 days, remittent, unresponsive to antibiotics

Plus
Bilateral bulbar conjunctival injections, unilateral CLAD, Strawberry tongue, edema and erythema of hands and feet, nonvesicular exanthem in the groin area

Kawasaki Disease

21

Acute nonspecific systemic medium-sized vasculitis

Arteritis is frequently observed in the coronary arteries and iliac arteries

Kawasaki Disease

22

Treatment in the Acute Phase of Kawasaki Disease

IVIG 2g/kg over 10-12hrs PLUS Aspirin 80-100mg/kg/day

23

Treatment in the Convalescent Phase of Kawasaki Disease

Aspirin 3-5mg/kg OD until 6-8weeks

24

Pink Tetralogy

Pulmonic Stenosis