Barkley review quick things!!!
Study online at https://quizlet.com/_jo2an6
1. murmur in VSD harsh, roaring
2. WPW syndrome asso- SVT
ciated with
3. gold standard dx for MRI
myocarditis
4. gold standard for cardiac cath
measuring PA pres-
sure
5. acute mgmt of CHF IV milrinone, dobutamine, dopa/epi (low dose)
nitroprusside
lasix
6. types of cardiomopa- dilated:
thy dilation of heart muscle
most common
s/s **afterload reducers, diuretics, VAD, ECMO
**heart transplant (75% of heart transplants)
mgmt ***
hypertrophic:
hypertrophy of left, (sometimes R) ventricle
**avoid inotropes
**GIVE: beta blockers, CCB
**surgery
restrictive:
scarring/stiffening of the hesrt muscle
restricted filling
, Barkley review quick things!!!
Study online at https://quizlet.com/_jo2an6
least common
**heart transplant
**may have pulm HTN - would not be able to get heart transplant if they
do!!!!
S/S:
angina
syncope
palpitations
dyspnea
exercise intol
new murmur
tachy
cardiac wheezing (restrictive)
7. hallmark sign of my- tachycardia
ocarditis
8. gold standard to dx cardiac MRI (noninvasive!)
myocarditis
9. can they play sports NO
with cardiomopathy?
10. common cause peri- pericarditis - viral
carditis vs endocardi- endocarditis -bacterial
tis
11. five PCN before dental to prevent endocarditis
procedure why?
12. tx of pericarditis? NSAIDs
, Barkley review quick things!!!
Study online at https://quizlet.com/_jo2an6
13. undiagnosed strep rheumatic fever!
can turn into
GABHS= group A beta strep
14. how to dx rheumatic positive throat culture or elevated/rising ASO titers PLUSSSS 2 major or 1
fever minor Jones criteria:
major:
1. carditis
2.polyarthritis
3.chorea
4.erythema marginatum
5. sub Q nodules
minor:
1. arthralgia w/o inflammation
2. fever>102.2 (39)
3. elev ESR or CRP
4. prolonged PR int on EKG w/ GABHS infection
15. tx for rheumatic fever treat strep!
PCN
if PCN allergy: first gen ceph, clinda, or macrolide
also tx inflamm with NSAIDs
16. kawasaki tx goal = reduce inflammation!
IVIG 2g/kg single dose given over 10-12 hrs
may require repeat dose
, Barkley review quick things!!!
Study online at https://quizlet.com/_jo2an6
high dose ASA until afeb 48 hrs
17. main s/s vascular stridor
ring/sling
18. esophageal compres- vascular ring
sion, think...
19. how to dx vascular modified barium swallow
ring
mvmt near esophagus/pulsatile mass = vascular ring
20. when should you do within one year of life
surgery for vascular
ring
21. what is chylothorax accumulation of lymph fluid d/t damage or obstruction
22. milky appearing pleur- c/f chylothorax
al fluid in chest tube???
23. pleural fluid exam of triglycerides >110
chylothorax chylomicrons
lymphocytic WBC >1,000(>80%)
what imaging?
get CXR/us
tx?
fat restriction, low fat diet
may use diuretics
octreotide
sildenafil
immunoglobulin Rx
Study online at https://quizlet.com/_jo2an6
1. murmur in VSD harsh, roaring
2. WPW syndrome asso- SVT
ciated with
3. gold standard dx for MRI
myocarditis
4. gold standard for cardiac cath
measuring PA pres-
sure
5. acute mgmt of CHF IV milrinone, dobutamine, dopa/epi (low dose)
nitroprusside
lasix
6. types of cardiomopa- dilated:
thy dilation of heart muscle
most common
s/s **afterload reducers, diuretics, VAD, ECMO
**heart transplant (75% of heart transplants)
mgmt ***
hypertrophic:
hypertrophy of left, (sometimes R) ventricle
**avoid inotropes
**GIVE: beta blockers, CCB
**surgery
restrictive:
scarring/stiffening of the hesrt muscle
restricted filling
, Barkley review quick things!!!
Study online at https://quizlet.com/_jo2an6
least common
**heart transplant
**may have pulm HTN - would not be able to get heart transplant if they
do!!!!
S/S:
angina
syncope
palpitations
dyspnea
exercise intol
new murmur
tachy
cardiac wheezing (restrictive)
7. hallmark sign of my- tachycardia
ocarditis
8. gold standard to dx cardiac MRI (noninvasive!)
myocarditis
9. can they play sports NO
with cardiomopathy?
10. common cause peri- pericarditis - viral
carditis vs endocardi- endocarditis -bacterial
tis
11. five PCN before dental to prevent endocarditis
procedure why?
12. tx of pericarditis? NSAIDs
, Barkley review quick things!!!
Study online at https://quizlet.com/_jo2an6
13. undiagnosed strep rheumatic fever!
can turn into
GABHS= group A beta strep
14. how to dx rheumatic positive throat culture or elevated/rising ASO titers PLUSSSS 2 major or 1
fever minor Jones criteria:
major:
1. carditis
2.polyarthritis
3.chorea
4.erythema marginatum
5. sub Q nodules
minor:
1. arthralgia w/o inflammation
2. fever>102.2 (39)
3. elev ESR or CRP
4. prolonged PR int on EKG w/ GABHS infection
15. tx for rheumatic fever treat strep!
PCN
if PCN allergy: first gen ceph, clinda, or macrolide
also tx inflamm with NSAIDs
16. kawasaki tx goal = reduce inflammation!
IVIG 2g/kg single dose given over 10-12 hrs
may require repeat dose
, Barkley review quick things!!!
Study online at https://quizlet.com/_jo2an6
high dose ASA until afeb 48 hrs
17. main s/s vascular stridor
ring/sling
18. esophageal compres- vascular ring
sion, think...
19. how to dx vascular modified barium swallow
ring
mvmt near esophagus/pulsatile mass = vascular ring
20. when should you do within one year of life
surgery for vascular
ring
21. what is chylothorax accumulation of lymph fluid d/t damage or obstruction
22. milky appearing pleur- c/f chylothorax
al fluid in chest tube???
23. pleural fluid exam of triglycerides >110
chylothorax chylomicrons
lymphocytic WBC >1,000(>80%)
what imaging?
get CXR/us
tx?
fat restriction, low fat diet
may use diuretics
octreotide
sildenafil
immunoglobulin Rx
