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CV 12 Peds Card
Pediatric Cardiology
| Question | Answer |
|---|---|
| What autoimmune complication occurs 2-4 weeks after an MI? | Dressler's syndrome (fever, pericarditis, incr ESR) |
| What type of psychotherapy is used to tx phobias, OCD, and panic d/o? | Cognitive Behavioral Therapy |
| What are the unique structures of the fetal circulation that close after birth? | Ductus arteriosus, foramen ovale, and ductus venosus, and umbilical v and aa |
| Describe briefly the sequence of events in Eisenmenger syndrome? | L->R shunt causes pulm HTN and RVH. Incr R sided pressures shift shunt to R->L causing cyanosis. |
| What is the MC congenital heart defect? | VSD |
| What is an Ebstein anomaly assoc'd with? | Maternal lithium use |
| Describe Ebstein's anomaly. | Tricuspid leaflets are displace into RV, hypoplastic RV, tricuspid regurg or stenosis |
| Dilated R atrium in Ebstein anomaly is a/w increased risk of _____ and ______. | SVT and WPW |
| Tx for Ebstein's anomaly? | PGE, dig, diuresis, and propanolol for SVT |
| A 6 wk old infant presents to the pedi ER for irritiablity and is found to have signs of L-sided heart failure. An EKG is interpreted as L sided MI. Most likely dx? | Anomalous origin of L main coronary a arising from pulm a rather than aorta |
| What medication is used to close a PDA? | Indomethacin |
| A newborn is found to have a congenital heart dz that causes early cyanosis. What medication does this newborn need? | Prostaglandin E |
| What are the abnormalities assoc'd with tetralogy of Fallot? | Pulmonic stenosis, overriding aorta, septal defect (VSD), and RVH |
| What heart defect are Down syndrome pts at higher risk of having? | Endocardial cushion defects |
| Wide fixed split S2 systolic ejection murmur at upper L sternal border | ASD |
| Tx for large VSD? | Diuretics or ACE-i; repair soon before Eisenmenger develops |
| Tx for small VSD? | Follow with routine echos and offer reassurance |
| Incompatible with life unless comorbid PDA or VSD; loud S2. | Transposition of great vessels |
| What are the cyanotic heart diseases? | 5Ts: Tetralogy of Fallot, Total anomalous pulmonary venous return, Transposition of the great vessels, Tricuspid atresia, and Truncus arteriosus |
| Harsh systolic murmur at lower left sternal border, loud S1 adn S2, bounding pulses | Persistent truncus arteriosus |
| Children squat for relief during hypoxemic episodes; boot shaped heart on CXR | Tetralogy of Fallot; tx with prost E to keep PDA open |
Created by:
sarah3148
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