I have a patient 2 months old male having progressive respiratory distress with bronchopneumonia and enlarged heart on CXR.. echo findings are suggestive of biventricular hypertrohic cardiomyopathy. We were suspecting storage disorders in the pt. The fundus showed hereditary retinal dystrophy. No dysmorphism on physical examination, No H/O sibling deaths, or any significant murmur on auscultation. Please advise?     Check out the answer

How do you manage a 5year old with asymptomatic cardiac mummur?     Check out the answer

Please tell me the normal cardiac catheterization values which should include presures and saturation in all chambers of heart like superior vena cava , ivc,ra,rv,pa,la,lv,aorta. I will be very grateful if you send me normal stanadrd values from standard book . Dr vivian     Check out the answer

Dear sir 14 y female present with pallor and tachycardia her ECG is; now the ECG is cmplete; http://img46.imageshack.us/img46/1261/ecgqe4.jpg Is this arrythmia SVT or AF...? Any role for surgery..?     Check out the answer

14 y female present with pallor and tachycardia her present and previous ECG is;follow this link http://img224.imageshack.us/img224/733/picturedi8.jpg What is the diagnosis….? How do you manage her …?     Check out the answer

A 10 month old male child presented with urti, ftt. On examination, a continuous murmur noted and diagnesed as pda on 2d echo study. Line of management? Which drug?     Check out the answer

9 year male child presented with generalised body swelling ,breath lessness,effort intolerence and head ache of acute onset.swelling started from lower limbs then to abdomen with breathlessness .there was no history of joint swelling,cough,decreased urine out put,no rashes,no loc either such previous ill ness in the past ,hospitalisation,no medications.he was tachypnic,anasarca,pale,tachycardia, NO RADIO FEMORAL DELAY, all peripheral pulsations are feltgallop rhythem,wide fixed split second heart sound,grade 4 psm,with normal first sound,jvp was raised,tender hepato megaly with ascitis,there was basel creptations bilateraly.echo revealed ASD,USG-abdomen revealed non visulisation of right kidney which was conformed with CT abdomen,RFT ,LFT,ASO <200 ,serum electrolite revealed with in normal limit,irrespective of his improvement of theCCF he is persistent to have a BP of 190/140 mm hg,not respondig to first line anti hyper tensive medication .what is the probbable diagnosis,what further investigation should be carried out,which medication would you like to add on -------- The following values could not retrieve result :- which medication would you like to add on --------, what further investigation should be carried out, not respondig to first line anti hyper tensive medication .what is the probbable diagnosis, irrespective of his improvement of theCCF he is persistent to have a BP of 190/140 mm hg, serum electrolite revealed with in normal limit, ASO <200, LFT, RFT, USG-abdomen revealed non visulisation of right kidney which was conformed with CT abdomen, there was basel creptations bilateraly.echo revealed ASD, tender hepato megaly with ascitis, jvp was raised, with normal first sound, grade 4 psm, wide fixed split second heart sound, all peripheral pulsations are feltgallop rhythem, NO RADIO FEMORAL DELAY, pale, anasarca, no medications.he was tachypnic, hospitalisation, no loc either such previous ill ness in the past, no rashes, decreased urine out put     Check out the answer

I am having murmur said by my doctor,iam 10years of age,but i have never gone for my echo or my vsd test . so give me some suggestion for best doctors......??     Check out the answer

A 4 yr old in good health presents with c/o CP,Palpitations,Tachycardia, Irritable behaivor. Holter showed runs of tachy only. EKG and Echo normal. Complaints continue. Well hydrated. ? What now?     Check out the answer

Can we use propranolol i.v to treat SVT with heart failure, in infants if other methods for restoring sinus rythm like ice bag on face was not succesful or other drugs r not available . because i used that with 2 of my patients in pediatriv intensive care unit and it was very succesfull?     Check out the answer

What are causes of cardiomegaly without murmur     Check out the answer