Cardiology- Acyanotic Congenital Heart Disease (CHD)


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Oleh Ryan Flaherty, DO, Samantha DeMarsh, DO, and Elizabeth Grogan, MD, Ryan Flaherty, DO, Samantha DeMarsh, Elizabeth Grogan, and MD ditemukan oleh Player FM dan komunitas kami — hak cipta dimiliki oleh penerbit, bukan Player FM, dan audio langsung didapatkan dari server mereka. Tekan tombol Berlangganan untuk mendapat setiap pembaharuan di Player FM, atau salin URL feed ke aplikasi podcast lainnya.

Today we’ll be covering Acyanotic 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 two and a half week old infant presents to the emergency department with poor feeding and decreased urine output for the past 24 hours. She is tachycardic, tachypneic, and in acute distress. An ABG from her right wrist is obtained, and her PaO2 is > 100mmHg with signs of metabolic acidosis. She has had no fevers or other sick symptoms. You obtain four-extremity blood pressures, and there is a 25mmHg gradient between the right upper extremity and the lower extremities. Which murmur is associated with the most likely diagnosis?

  1. A fixed split S2 loudest at the pulmonic region
  2. A harsh pan-systolic murmur
  3. No murmur
  4. A continuous machine-like murmur over the left precordium
  5. A harsh systolic murmur that is loudest on the back

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50 episode