paeds56
A new-born baby has a loud murmur, grade 3/6, at the upper left sternal edge. Which one of the following statements about examination techniques is correct?
Category: Cardiovascular
paeds57
A new-born baby is found to have a loud heart murmur but is otherwise well 6-hour baby after birth.Which one of the following is the most likely cause?
paeds58
A new-born infant deteriorates on the postnatal ward. The child is breathless with no murmurs, 3 cm liver edge, and poor femoral pulses. She is acidotic with elevated lactate. Mum did not attend the antenatal screening. What is the most likely diagnosis?
paeds59
A new-born term baby has a 2/6 systolic murmur 6-hours after delivery.Which one of the following is the most common explanation of this murmur?
paeds51
An infant of 2 months is diagnosed with a ventricular septal defect. This congenital anomaly is most likely due to a developmental failure of which embryological structure?
paeds52
A 13-year-old male with epilepsy presents to the emergency department. On examination, he is found to have a prominent carotid pulse but a feeble femoral pulse. He was also found to be hypertensive with blood pressure in his upper limbs found to be 40 mmHg more than that of the lower limbs.Auscultation reveals an ejection-systolic murmur at the upper left sternal edge and the left interscapular area and an audible ejection click at the apex.An ECG reveals features suggestive of mild left ventricular hypertrophy and a chest X-ray reveals mild cardiomegaly with notches on the lower surface of the 3rd, 4th and 5th ribs. What is the most probable diagnosis?
paeds53
A 5 month old boy presents with breathlessness, central cyanosis, irregular pulse, and oedema. On cardiac auscultation, he has a displaced apical beat laterally and a profound right ventricular heave. On lung auscultation, he has bilateral basal crackles. X-ray of the chest reveals gross cardiomegaly. Heart ultrasound shows mitral valve prolapse. Finally, ECG shows a prolonged and widened QRS complex with a short PR interval. Doctors establish the diagnosis of a right bundle branch block with a dominant R wave in V1. What is the most likely diagnosis?
paeds54
A woman gives birth to a baby which is cyanosed 6 hours after birth. Which of the following heart conditions might the baby have?
paeds55
A child is admitted due to potassium supplement overdose. What of the following do you expect to see?
paeds46
Which of the following cardiac abnormalities is most often found in patients suffering from Marfan syndrome?