These genes fit
Rheum for more
Name that tune
Potpourri
Rhythm and blues
100
Valvular pulmonary stenosis. Seen most commonly in which syndrome?
What is Noonan Syndrome
100
Delayed, non-suppurative sequela of infection with group A beta-hemolytic streptococci or Streptococcus pyogenes. The acute phase of ARF (acute rheumatic fever) is caused by a proliferative inflammatory reaction that involves the connective and/or collagen tissues and commonly affects the heart, joints, brain and subcutaneous tissues, although any organ may be involved. Name the major criteria for ARF
What is Joint involment, Heart involvment (Pericarditis, effusions to heart), Bodules, Erythema marginatum, Sydenham's Chorea. Minor criteria: High CRP/ESR, fever, arthralgias, and prolonged PR interval.
100
Left lower sternal border. Vibratory, when supine loud, when prone gone
What is Still's murmur
100
Most comon cause of myocarditis
What is Viral (Enterovirus)
100
Pre-excitation depolarization of QRS complex (delta waves). Seen in what syndrome
What is Wolf Parkinson white syndrome
200
Cardiac Rhabdomyomas. Seen most commonly in which syndrome?
What is Tuberous Sclerosis
200
CC : High fever for 6 days. PI : Six days prior to admission (PTA), she developed high fever and rhinorrhea. She was taken to see a doctor at a clinic and was diagnosed as "URI". She was prescribed paracetamol, actifed and amoxicillin . Two days PTA, she had semi-solid stool. One day PTA, she developed maculopapular rash at trunk at extremities. PH : she had been healthy . Birth weight was 2.8 kgs. Significant PE An infant, fully conscious but irritable, body weigh 5.2 kgs. Vital signs: Temp 39.8 C, HR 160 beats/min, RR 40 breaths/min, BP 98/50 mmHg HEENT: mild injected conjunctiva, no icteric sclera, red lips. Lymph node: not palpable Heart: regular rhythm, tachycardia Lung: clear, no adventitious sound Abdomen: soft, no organomegaly Skin : Erythematous rash at trunk and extremities Extremities: Swelling of dorsal part of hands and feet Disease at top of differential?
What is Kawasaki Disease
200
Left upper sternal boarder. Loudest in axillae. systolic and seen in infants.
What is Peripheral pulmonic stenosis
200
4 day old with cyanosis, cool extremities, lethargy, whats on your differential (any 3 for credit)
What is Aortic coarctation, and other left heart obstructive disorders like Aortic stenosis, coracation of aorta, hypoplastioc left heart
200
Tet spells Boot shaped heart Single second heart sound All can be seen in Tetrology of Fallot. Name the 4 heart defects.
What is Ventral Septal Defect, Pulmonary Stenosis, Overriding aorta, rigth Ventricular Hypertrophy
300
Supravalvular aortic stenosis. Seen most commonly in which syndrome?
What is William's Syndrome
300
Which valve of heart most commonly affected by ARF
What is Mitral valve
300
Right upper sternal boarder. Continous, disappears with jugulair vein compression or when head turned or upon being supine.
What is Venous Hum
300
4 day old with cyanosis, cool extremities, lethargy:DX: Aortic coarctation and other left heart obstructive disorders like Aortic stenosis, coracation of aorta, and hypoplastioc left heart Immediate Treatment is
What is Prosgaglandin E
300
During a "tet spell". What is immediate therapy (Name 3/4 get credit).
What is Knee chest position, sodium bicarbonate, morphine, and oxygen. Surgery is not immediate treatment!
400
Disection of the Ascending Aorta. Seen most commonly in which syndrome?
What is Marfan's Syndrome
400
The most common arrythmia leading to fetal bradycardia.
What is Complete heart block (SS-A/Ro or SS-B/la)
400
Left upper sternal Boarder. systoliuc, fixed split S2
What is ASD
400
Which meds are associated with drug induced long QT syndrome?
What is Amitriptyline, erythromycin, and cisapride
400
In pulses paradoxus (can be secondary to pericardial effusion) what do you see with systolic blood pressure?
What is an inspiratory fall of systolic blood pressure of greater than 10 mm Hg.
500
Endocardial cushion defect Seen most commonly in which syndrome?
What is Down syndrome or Smith Lemli Opitz (Either for credit)
500
Diagnostic criteria for Kawasaki? Need full amount for credit.
What is Fever for 5 or greater days and 4 of the following 5. -Bilateral conjunctival injection -Changes of the mucosae of the oropharynx, including an injected pharynx, an injected and/or dry fissured lips, and a strawberry tongue -Changes of the peripheral extremities, such as edema and/or erythema of hands and/or feet, and desquamation (usually beginning periungually) -Rash (primarily truncal), which is polymorphous but nonvesicular -Cervical lymphadenopathy
500
Left lower sternal boarder. holosystolic, harsh, regurgitant, even pansystolic.
What is VSD
500
Heart lesions most likeley to appear between 4 weeks and 4 months. Can see poor feeding, tachypnea, failure to thrive, sweating, hepatomegaly. Name some of those lesions (need at least 4 for credit: Hint due to left to right shunting & normal decrease in pulm vacular resistance)
What is Patent ductus arteriosus, Ventricular septal defect SVT AV canal aortapulmonary windows Take credit off if choose: Atrial septal defect
500
Progressive prolongation of the PR interval on the ECG on consecutive beats followed by a blocked P wave (i.e., a 'dropped' QRS complex). After the dropped QRS complex, the PR interval resets and the cycle repeats.
What is Mobitz I (Wenckebach). Second degree AV block
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