Cardiology- Cyanotic Congenital Heart Disease (CHD)

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Manage episode 294834822 series 2851469
A sorozat szerzője: Ryan Flaherty, DO, Samantha DeMarsh, DO, and Elizabeth Grogan, MD, Ryan Flaherty, DO, Samantha DeMarsh, Elizabeth Grogan, and MD, akit a Player FM és a Player FM-közösség fedezett fel. A szerzői jogok tulajdonosa a kiadó, nem a Player FM, és a hangfájlt a kiadó osztja meg közvetlenül a saját szerveréről. A frissítések nyomonkövetéséhez koppints a Feliratkozás gombra, vagy másold be a feed URL-t egy másik podcast-appra.

Today we’ll be covering Cyanotic Congenital Heart Disease (CHD), going along with this month’s theme, Cardiology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

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Today’s Case:

A mother with scant prenatal care gives birth. Almost immediately following delivery, the infant is cyanotic. An ABG is obtained, and the PaO2 is 35mmHg. The infant is exposed to 100% FiO2 for 10 minutes, and a repeat ABG is obtained. The PaO2 remains at 35mmHg. A chest x-ray is obtained and demonstrates an “egg on a string” appearance. An echocardiogram confirms the diagnosis, and the patient is taken emergently for an atrial balloon septostomy until definitive surgical correction can be prepared. What is the most likely underlying lesion/lesions?

  1. A VSD, an overriding aorta, right ventricular outflow obstruction, and right ventricular hypertrophy
  2. Parallel pulmonary and systemic circulation
  3. A common truncal outflow tract and truncal valve
  4. Abnormal return of the pulmonary veins
  5. Absence of the tricuspid valve

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Intro/Outro- Hotshot by Scott Holmes

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

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