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Flashcards in Cardiology Deck (28)
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1

Presence of S3 indicates

increased fluid states

2

Presence of S4 indicates

stiff ventricle wall

3

Most common heart defect

VSD - 30% of defects

4

Acyanotic lesion shunting

left to right

5

Cyanotic lesion shunting

right to left

6

ASD murmur

Grade II-III systolic ejection murmur, best heard at LUSB

7

VSD murmur

Grade II to V systolic ejection murmur, Holosystolic thrill may be felt at LLSB

8

PDA murmur

LUSB machinery sound (5-10% of defects)

9

Heart defect in Marfan

Aortic regurge or mitral valve prolapse

10

Turner syndrome heart defect

Coarctation of the aorta

11

DiGeorge syndrome

Aortic arch anomalies

12

Labs/diagnostics for children with HTN

Aldosterone level to rule out aldosteronism
cortisol levels
UA, BMP, CBC, cholesterol, triglycerides
ECG

13

Rheumatic fever follows what infection?

Untreated group A strep

14

Major manifestations of Rheumatic fever

Carditis
Polyarthritis
Chorea
Erythema marginatum
Subcutaneous nodules

15

Minor manifestations of Rheumatic fever

Arthralgia
Fever over 102.2
Elevated acute phase reactants
Prolonged PR with evidence of GABHS infection

16

Dianosis of Rheumatic fever

2 major criteria
-or-
1 major and 2 minor criteria

17

Most common age and ethnicity for Kawasaki

Less than 2 years
Asian

18

Bilateral conjunctival injection with limbic sparing

Kawasaki

19

Pulses in PDA

bounding

20

Oxygen challenge

In cyanotic infant, repeat an ABG after 10-15 minutes of 100% oxygen. Minimal increase in pO2 suggests cardiac etiology

21

Heart defects that may contribute to CHF untreated

VSD
AV septal defect
PDA
Coarctation
Single ventricle defects (e.g., Hypoplaastic left heart)

22

Acquired CHF causes

Myocarditis
Cardiomyopathy
Rheumatic fever
Metabolic disease

23

Physical findings in CHF

Tachycardia and tachypnea (COMMON)
Hepatomegaly
Periorbital edema
Wheezing, rales
Pallor, mottling
Weak peripheral pulses, cool extremeties
Gallop rhythm

24

Rx to maintain PDA

Prostaglandin E1

25

Four murmurs account for the majority of pediatric murmurs. They are....

PDA
VSD
Innocent murmur
Peripheral pulmonic stenosis (PPS) of the newborn

26

Fixed split S2,
Possibly with soft ejection murmur at ULSB radiating to the back

ASD

27

Holosystolic murmur at LLSB

VSD

28

Machinery like continuous murmur

PDA