Congenital heart conditions

Question 1

A 16-year-old girl comes to your GP surgery worried that she has not yet started her periods. She is quite short, has a webbed neck, low set ears and widely spaced nipples. What would your likely diagnosis?

Answer 1

Turner’s syndrome is associated aortic coarctation (failure to close of ductus arteriosus in first few weeks of life)

Question 2

What is the murmur found in coarctation of aorta?

Answer 2

Ejection systolic murmur heard loudest over aortic valve.

Question 3

What is turners syndrome and who does it effect?

Answer 3

Turner’s syndrome is a chromosomal disorder affecting females. Associated with short stature, widely spaced nipples and webbed neck.

Question 4

What will the blood pressure readings reveal in coarctation of aorta?

Answer 4

Four limb pressure will reveal: upper extremities>lower extremities

Question 5

What is the Mx for critical coarctation of aorta?

Answer 5

-Critical coarctation: five prostaglandin E to keep ductus arteriosus open, then surgical repair of coarctation once medically stable.