Cardiology- Acyanotic Congenital Heart Disease (CHD)

Today we’ll be covering Acyanotic Congenital Heart Disease (CHD), going along with this month’s theme, Cardiology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

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Today’s Case:

 

A two and a half week old infant presents to the emergency department with poor feeding and decreased urine output for the past 24 hours.  She is tachycardic, tachypneic, and in acute distress. An ABG from her right wrist is obtained, and her PaO2 is > 100mmHg with signs of metabolic acidosis.  She has had no fevers or other sick symptoms.  You obtain four-extremity blood pressures, and there is a 25mmHg gradient between the right upper extremity and the lower extremities. Which murmur is associated with the most likely diagnosis?

1. A fixed split S2 loudest at the pulmonic region
2. A harsh pan-systolic murmur
3. No murmur
4. A continuous machine-like murmur over the left precordium
5. A harsh systolic murmur that is loudest on the back

 

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Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

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