Jennifer Peters Cues = Imo = 2 normal siblings birth 7ibs 8 oz - 3-4-wks of age: | in appetite & episodes of sweating ~ gained only 4oz since birth (at 1 mo) - murmut at LSB, radiates widely iastolic rumbling murmur at apex ~ $3 audible ~ hepatomegaly - tormal peripheral pulses page 2: = RVH & LAE +f pulm vascular markings echo: defect in membranouse ventricular septum - w/ digitalis & diuretics: gain weight & sweating resolved ~at 12 mo cardiae cath: = RV & main palma t ~1 systolic pressures of pulm a & RV = “unable to keep up” = SOB & mild duskiness w/ activity - small size es ‘congenital heart disease - CHF secondary to congenital disease - VSD ‘Liepwe mre ~ embryological development of heart - fetal circulation of heart ~ why did the murmur develop? = congenital heart disease (acyanotic vs cyanotic vs obstructive congenital diseases) - etiology + pathophysiology - clinical course of diseases (long term) ~ treatment (drugs & surgical) - if given certain pressures-> figure out what the defect is, ~ why else could the R side pressures be increased (besides in volume overload) = look up, if volume constant, is it pressure overload? - pressure vs volume overload & effects ~ check stimulus ?s to make sure we covered themRarmavena a Raneestoy Peeler Ouest y—TO- Keep Sente Weetier Suet Xs eK -Vourercxmorntc Ragin Heater = Poanasnn Wriperre see RY pepe rte mere ey © Cegee-To weer tacap emer Saar Pee renee » Tetnnorts Cong ora, Fear~ Ceteevean errs Bestoe For Pe seoragpeeeen poe, © wecrarenen. seown CBee ER (YAS) * TE Commee coay teste scones ~ am - Rear rO-Leer Swoser Ve, Tso, ee© Pas€or Dyoctus Mearesos (PAS pace RD CE RGM RANA Sinan PEM Femae [ascostes Aone = vem pemome> ee Sere EASES, Rome tay Prrcccorerngas ES, wcseseoe | YPC:OCR Tog oF FANT: eee Soreg? etc, | | Saad sarees Fanon ns eed aa toni tow tc Tied ht GB _werroier spe ata7 Loney OF DRAM Aeon of Rotate. Daeefertad Sere ig he than: Ae. Caan OFeset Penge) TO Low Serre weesKenta Guarentee ee Noe Sigler ST oe Venom oe repens “SRE Soames impaired contractility Sete e, - Daewet Sree @voaperneruzos pew = @OTw cresos u Seer i - Cartes Ce em gisinKEt * de Omega Lene, i ee ars Wace Eo ! —_ ae 7 Slat. © Sree emai aan Rese © TES peren Lecnrene Sans Gone pews. peatones Leewamensumpen) ese be ets parece Sout ees Ee preponens giaie or cease ‘LSSESEE Leaman a Temaoeeren i stead sity comes oF beau it chee © denn. Sree i ‘risen teen AeA © concn gene nine Aegase a cernemneeal i Ce pment Dregemoers CEE. Term ore al iomaaternin "Prosser CANES OF WE ROT Fre Toavenre Seeuen, Sole geaopeet = ceacreernrporat “Re A Cereg Ieee VERON Crepe. ‘at ae = GE Lene. eee aoe tte a reco REeS Ae Stretectn “Roe wanes Rae) TAS fasmaomen ent FT emmeer>