Non-Cyanotic Congenital Heart Disease

Question 0

ASD

Answer 0

L > R shunt causes relative pulmonary stenosis
- systolic murmur BHA LUSB
Increased blood on right causes RV dilation
- split S2 (takes longer for RV to finish systole

Question 1

Coarctation of the Aorta

Answer 1

Anatomy: ridge of tissue, discrete ring of tissue, or segment of hypoplasia
Presentation: right radial pulse > LE pulses
Murmur: SEM loudest over back, also axilla/left interscapula area
Long-Term Complications: re-coarctation, HTN

Question 2

Aortic/Pulmonic Stenosis

Answer 2

usually ejection click as well as systolic murmur

Question 3

PDA

Answer 3

*continuous machinery murmur
  BHA left infraclavicular area
Can be significant in VLBW/preemies
L > R shunt >> widened pulse pressure, hyperdynamic prercordium
         can >> pulm congestion, rt HF, hypotension
Tx: limit fluids
      indomethacin (or ibuprofen)
      maintain PEEP
      surgical ligation if meds fail

Question 4

VSD

Answer 4

holosystolic murmur