Term
| Is a Atrial Septal Defect cyanotic or acyanotic? What direction is the shunt? |
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Definition
| Cyanotic; Left to Right shunt |
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Term
| Is a Ventricular Septal Defect cyanotic or acyanotic? What direction is the shunt? |
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Definition
| Cyanotic; Left to Right Shunt |
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Term
| Is a Patent Ductus Arteriosus Defect cyanotic or acyanotic? What direction is the shunt? |
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Definition
| Cyanotic; Left to Right shunt |
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Term
| With what conditions does Eisenmenger's syndrome occur? What are the sx? |
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Definition
Occurs with VSD, ASD and Patent ductus Arteriosus
Sx - Chronic Cyanosis (really more of a cause)
Clubbing
SOB
Pulmonary HTN
Disappearance of Murmurs ( due to reversal of shunt) |
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Term
| Which cyanotic heart dx do not have a shunt? |
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Definition
| Congenital Aortic Stenosis, Coarctation of the aorta |
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Term
| Which CHDs caused decreased pulmonary blood flow? |
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Definition
Tricuspid atresia
Pulmonary atresia
Tetrology of Fallot
Ebstein Anomaly |
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|
Term
| Which CHDs caused increased pulmonary blood flow? |
|
Definition
Persistant truncus arteriosus
Transposition of great arteries
Total anomalus venous return
A single or common ventricle
Hypoplastic L Heart syndrome |
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Term
| What is wrong in Ebstein's anomaly? |
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Definition
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Term
| What is the most common extracardiac abnormality caused by Aortic Coarctation? |
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Definition
| Aneurysm in the circle of Willis |
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Term
| On PE what will be unusual about the pulses with Coarctation of the aorta? |
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Definition
| Forceful carotid and upper extremity pulses with weak and delayed lower extremity pulses |
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Term
| Where is the murmur of Pulmonic valve stenosis best heard? When is it heard systole or diastole? What else might be heard with it? |
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Definition
| left upper sternal border; systole; opening click |
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Term
| What are the 4 components of Tetralogy of Fallot? |
|
Definition
1) RV outflow obstruction (Pulmonic valve stenosis or infundibular stenosis)
2) Membranous VSD
3) Overriding aorta across the VSD
4) RVH |
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Term
| What does the degree of shunting in tetralogy of fallot depend upon? |
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Definition
| Depends on degree of RV outflow obstruction |
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Term
| What is the most common type of Atrial septal defect? |
|
Definition
| OSD - Ostium secundum defect |
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|
Term
| What defect should you always check for with new onset a-fib? |
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Definition
| Always check for ASD (Atrial Septal Defect), as A-fib is common arrhythmia is these pts |
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Term
| Which septal defect is commonly found in adults, which is not? |
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Definition
Atrial septal defect common in adults.
Ventricular Septal defect not commonly found in adults |
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Term
| What type of pts are the most likely to have patent ductus arteriosus? |
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Definition
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Term
| What does the murmur of PDA (Patent ductus arteriosus) sound like? |
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Definition
| Loud, continuous machinery-like murmur in left infraclavicular region |
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