Cardiac Disorders FAQs - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question Category : Cardiac Disorders
I have a male 2 month old patient having progressive respiratory distress with bronchopneumonia and enlarged heart on CXR. Echo findings are suggestive of bi ventricular hypertrophic cardiomyopathy. We were suspecting storage disorders in the patient. The fundus showed hereditary retinal dystrophy. No dysmorphism on physical examination, No H/O sibling deaths, or any significant murmur on auscultation is observed. Please advice? Check Out the Answer
Question Category : Cardiac Disorders
How do you manage a 5 year old with asymptomatic cardiac murmur? Check Out the Answer
Question Category : Cardiac Disorders
Please tell me the normal cardiac catheterization values which should include pressure 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 standard values from standard book . Dr Vivian. Check Out the Answer
Question Category : Cardiac Disorders
Dear sir 14 year old female present with pallor and tachycardia. Her ECG is; now the ECG is complete; http://img46.imageshack.us/img46/1261/ecgqe4.jpg Is this arrhythmia SVT or AF...? Would a surgery be useful? Check Out the Answer
Question Category : Cardiac Disorders
14 year old 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
Question Category : Cardiac Disorders
A 10 month old male child was presented with URTI, FTT. On examination, a continuous murmur was noted and diagnosed as PDA on 2d echo study. What could be the line of management? Which drug could be used? Check Out the Answer
Question Category : Cardiac Disorders
9 year male child presented with generalized body swelling ,breathlessness, effort intolerance and head ache of acute onset. Swelling started from lower limbs then reached abdomen with breathlessness. There was no history of joint swelling, cough, decreased urine output, no rashes, no loc either such previous illness in the past. he was not hospitalized, nor was no medications. He was tachypnic, anasarca, pale, tachycardia, but NO RADIO FEMORAL DELAY, all peripheral pulsations felt gallop rhythm, wide fixed split second heart sound, grade 4 psm, with normal first sound ,jvp was raised, tender hepato megaly with ascitis, there was basal creptations bilateraly. The echo revealed ASD,USG-abdomen revealed non visualization of right kidney which was conformed with CT abdomen, RFT ,LFT,ASO <200 ,serum electrolyte revealed within normal limit,irrespective of his improvement of the CCF. He is persistent to have a BP of 190/140 mm hg, and is not responding to first line anti hyper tensive medication .What is the probable 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 responding to first line anti hyper tensive medication? What is the probable diagnosis, irrespective of his improvement Check Out the Answer
Question Category : Cardiac Disorders
My doctor says I have heart murmur, i am 10 years 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
Question Category : Cardiac Disorders
A 4 year old in good health presents with complaints of CP, Palpitations, Tachycardia, Irritable behavior. Holter showed runs of tachy only. EKG and Echo are normal but the complaints still continue. Is he well hydrated? What is the further diagnosis? Check Out the Answer
Question Category : Cardiac Disorders
Can we use propranolol i.v to treat SVT with heart failure in infants? if there are other please mention. Methods for restoring sinus rhythm like ice bag on face was not successful or other drugs are not available. Because i used that with 2 of my patients in pediatric intensive care unit and it was very successful, how is the possible then? Check Out the Answer
Question Category : Cardiac Disorders
What are causes of cardiomegaly without murmur? Check Out the Answer

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