4th Pediatric Infectious Diseases Conference
 
 
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Congenital Heart Disease
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Specialist Answers
Question
A 1 month old baby presented with cyanosis, hyperepnoea, on enquiring had cyanosis since birth. 1.could it be TOF with a spell 2.does propranpolol have role in management of this baby?
Answer
The commonest cyanotic CHD in a neonate is TGA. Also, rule out other causes like tricuspid atresia, TAPVC and TOF. An Xray chest may be useful: egg shaped heart in TGA, shoe shaped heart in TOF, Snowman shaped heart in TAPVC. The ideal investigation would be 2D Echo and doppler of the heart. Propranolol is useful in cyanotic spells. However, first rule out other CHD especially TGA before labelling the child as TOF. Hope this answers your query.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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