Cardiology

“A 1 year old child known case of congenital heart disease was brought to paediatric

Emergency department .mother complains that he suddenly turned restless and irritable .

On examination he is fully cyanosed, tachypnic with gasp like respiration ,&digital clubbing

Present?

From which congenital heart disease he is suffering from?

What is current issue due to which he was brought to hospital? Write 3 more

Complications?

How will u manage this child?

ANSWERS

A. TERATOLOGY OF FALLOT
B. Tet spells/hypercyanotic attacks .
1)cerebrovascular accidents.
2)brain abscess
3)bacterial endocarditis
4failure to thrive
C. 1)oxygen inhalation
2) place the child in knee chest position
3)Morphine sulphate(0.2 mg/kg subcutaneously)
4)management of metabolic acidosis: bicarbonate
5)propranolol (0.1-0.2mg/kg slow intravenous )
REFERENCE : Basis of paediatrics
By Parveez Akbar
pagno.355 -358