Echocardiography Case Study
Question 8
A 6 lb 2 oz full term baby boy has just been delivered in the maternity ward. He is noted to be tachypneic and when he cries his lips are noted to be blue. His extremities are also noted to be blue in colour. He is referred to a paediatric cardiologist for further investigation. A echocardiogram ordered. It is observed that the ventriculoarterial connections leaving the heart are not accurate and happen to interchanged. What additional heart anomaly is the cardiologist likely to find on echocardiography?
Coarctation of aorta Ventricular septal defect Overriding aorta Atrial septal defect Pulmonary valve stenosis
Explanation:
Correct Answer (B):
The baby boy in this case is noted to have transposition of his great vessels (TGA). Which means that the aorta originates from the right ventricle and pulmonary trunk from the left ventricle. In …show more content…
pylori infection, prolonged use of aspirin and other painkillers. Stomach pain, heartburn, uneasiness and bloating are common. Sometimes pain is known to radiate to the chest and back. This case is unlikely to suggest that the patient has a peptic ulcer.
Educational Objective:
A cracked rib usually occurs during trauma, motor vehicle accidents or during contact sports. Shortness of breath and pain on the area of the injury is the most common manifestation of this. Depending on the extent of the injury the patient will manifest them sooner or later. A chest X ray is usually able to pick up a fracture in a rib and sometimes there would be a concomitant pneumo or hemothorax. CT scan is usually ordered to rule out other injuries. Cracked ribs usually heal on their own within six to eight week with rest and icing. Pain killers are sometimes prescribed.
References and further reading: https://emedicine.medscape.com/article/825981-overview Moore K.L., Agur A.M.R, Dalley A.F, Essential Clinical Anatomy, 4th Edition, Lippincott Williams and Wilkins, 2010. Pp
A 6 lb 2 oz full term baby boy has just been delivered in the maternity ward. He is noted to be tachypneic and when he cries his lips are noted to be blue. His extremities are also noted to be blue in colour. He is referred to a paediatric cardiologist for further investigation. A echocardiogram ordered. It is observed that the ventriculoarterial connections leaving the heart are not accurate and happen to interchanged. What additional heart anomaly is the cardiologist likely to find on echocardiography?
Coarctation of aorta Ventricular septal defect Overriding aorta Atrial septal defect Pulmonary valve stenosis
Explanation:
Correct Answer (B):
The baby boy in this case is noted to have transposition of his great vessels (TGA). Which means that the aorta originates from the right ventricle and pulmonary trunk from the left ventricle. In …show more content…
pylori infection, prolonged use of aspirin and other painkillers. Stomach pain, heartburn, uneasiness and bloating are common. Sometimes pain is known to radiate to the chest and back. This case is unlikely to suggest that the patient has a peptic ulcer.
Educational Objective:
A cracked rib usually occurs during trauma, motor vehicle accidents or during contact sports. Shortness of breath and pain on the area of the injury is the most common manifestation of this. Depending on the extent of the injury the patient will manifest them sooner or later. A chest X ray is usually able to pick up a fracture in a rib and sometimes there would be a concomitant pneumo or hemothorax. CT scan is usually ordered to rule out other injuries. Cracked ribs usually heal on their own within six to eight week with rest and icing. Pain killers are sometimes prescribed.
References and further reading: https://emedicine.medscape.com/article/825981-overview Moore K.L., Agur A.M.R, Dalley A.F, Essential Clinical Anatomy, 4th Edition, Lippincott Williams and Wilkins, 2010. Pp