Approachtoheart - Approach to child with heart disease Pushpa Raj Sharma Professor of Child Health Institute of Medicine Diseases of heart

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Unformatted text preview: Approach to child with heart disease Pushpa Raj Sharma Professor of Child Health Institute of Medicine Diseases of heart Pericardium Myocardium Endocardium Blood vessels Prevalence Prevalence Congenital Congenital Cyanotic: 22% Acyanotic: 68% VSD 25% ASD 6% PDA 6% TOF 5% PS 5% AS 5% Acquired Acquired Kawasaki disease Rheumatic Tubercular Collagen Ceylon Med J 2001 Sep; 46 (3): 96-8; Indian J Pediatr. 2001 Aug;68 (8):757-7 Nelsons Textbook of pediatrics; 17 ed. Common acyanotic lesions Ventricular septal defects Atrial septal defects Atrio-ventricular septal defects Patent ductus arteriosus Truncus arteriosus Pulmonary stenosis Aortic stenosis Mitral stenosis/incompetence Coarctation of aorta Tricuspid regurgitation Common Cyanotic Lesions Decreased flow 1. Tetralogy of Fallot 2. Tricuspid Atresia 3. Severe Pulmonic Stenosis 4. Ebsteins anamoly Increased Flow 5. Transposition of great vessles 6. VSD with pulmonary atresia Common Lesions producing cyanosis 7. Truncus Arteriosus 8. Hypoplastic left heart 9. Single ventricle 10 . TAPVR with infradiaphragmatic obstruction Presenting complaints/signs Failure to thrive Exercise intolerence Easy fatigability Chest indrawing Sweating during feeding Bluish spells Fever with rigor Palpitation Convulsion Fast breathing Oedema Hepatomegaly, spleenomegaly Clubbing Cyanosis Focal neurological lesion Other organ defects Chromosomal anomalies Cyanosis: is it a cardiac cause or lung cause Hyperoxia test Neonates with cyanotic congenital heart disease usually do not have significantly raised arterial Pao2 during administration of 100% oxygen. Ventricular Defect Small VSD Asymptomatic A loud, harsh, or blowing holosystolic murmur....
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Approachtoheart - Approach to child with heart disease Pushpa Raj Sharma Professor of Child Health Institute of Medicine Diseases of heart

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