After a full day of tests, Tiffany meets with Dr. Baker in his office. He explains, “After a careful review of all the information, I have discovered that Caleb has a hole in the heart muscle wall between his right and left ventricles. We call it a ventricular septal defect. That is probably why he has been so irritable and hard to feed. The hole is not very big, but he will still need to have surgery to repair it.” Although the thought of her tiny son having surgery is terrifying, Tiffany is relieved to know why things have been so tough at home.…
His heart rhythm is regular. No ectopy is noted. The PMI is displaced slightly laterally. Abdomen is soft, nontender. No organomegaly is noted.…
Cardiac silhouette is mildly enlarged. Pulmonary vasculature and hila are normal. The lungs are clear of confluent infiltrates. There is no effusion.…
Explain surgical procedure and expected outcome. Show pictures of before and after photos of cleft lip/palate.…
Hers is pale with cool extremities; CHF clinical manifestations: pale, mottled or grayish appearance in skin color…
When auscultating the heart of a newborn within 24 hours after birth, the examiner hears a continuous sound that mimics the sound of a machine. This finding most likely indicates: an expected sound caused by nonclosure of the ductus arteriosus.…
There are two types of aortic valve diseases: regurgitation and stenosis. Aortic regurgitation is a condition in which blood flows backward from a weak or widened aortic valve into the heart’s left ventricle. Aortic Stenosis is a narrowing or blockage of the aortic valve. This happens with the valve leaflets become coated with deposits. Since this is makes the aortic valve smaller, the left ventricle has to work harder in order to get the same amount of blood through the small opening, over time, this extra work can weaken the heart. There are three mitral valve diseases: mitral valve prolapse, mitral regurgitation, and mitral stenosis. Mitral valve prolapse disease is where one or both of the valve flaps (cusps or leaflets) are enlarged and the flaps’ supporting muscles are too long; instead of closing evenly, the one or both of the flaps collapse or bulge into the left atrium. Mitral regurgitation is caused by earlier conditions that have weakened the heart, such as if a person has had a heart attack or had rheumatic fever as a child. Mitral stenosis is a narrowing or blockage of the mitral valve, the narrowed valve causes blood to back-up into the heart’s upper-left chamber instead of flowing into the lower-left chamber. Atrial septal defect, also known as ASD, is a “hole” in the wall that separates the top two chambers of the heart. Ventricular septal defect (VSD), is the opposite of ASD, it is a hole in the wall separating the two lower chambers of the heart. Tetralogy of fallot is a combination of four different problems: a hold between the lower chambers of the heart, the muscle surrounding the lower right chamber becomes overly thickened, an obstruction from the heart to the lungs, and when the aorta is over the hole in the lower chambers. These are a few of the heart conditions that a cardiothoracic surgeon…
The mitral valve orifice is normally about 5 cm2 in diastole and may be reduced to 1 cm2 or less in severe mitral stenosis.…
Grand Teton National Park is named for Grand Teton, the tallest mountain in the Teton Range. The naming of the mountains is attributed to early 19th-century French speaking trappers—"les trois tetons" (the three teats) was later anglicized and shortened to Tetons. At 13,775 feet (4,199 m), Grand Teton abruptly rises more than 7,000 feet (2,100 m) above Jackson Hole, almost 850 feet (260 m) higher than Mount Owen, the second highest summit in the range. The park has numerous lakes, including 15-mile (24 km) long Jackson Lake as well as streams of varying length and the upper…
sporadic new mutation, which happens at conception. Therefore, as mentioned above, the diagnosis must be made…
By the 1940s the modern architectural movement had shed all traditional reminiscences of the Mud?jar, Romanesque, gothic, and baroque influences Cuba had experienced, and another housing boom resulted from capital investment accumulated after World War II. Because of the technological advancement of reinforced concrete, apartment buildings started springing up in the late 1940s and through the next decade for the middle classes.…
The history of InterQual continues to be written, but what it has achieved in 30 years is remarkable. Thousands of people in hospitals, health plans and government agencies use InterQual evidence-based clinical decision support criteria daily to help answer critical questions about the appropriateness of levels of care and resource use. The criteria have helped define and legitimize the disciplines of utilization and care management, giving medical directors and other hospital and health-plan professionals support in making the type of objective, evidence-based decisions that define top-quality, efficient care and open the door to greater transparency and collaboration between payors and providers.…
After clearing the airway and drying the infant, the nurse assesses that the infant is breathing and has a heart rate of 100, but remains cyanotic.…
Imagine giving birth to a beautiful, healthy looking, baby girl and holding her in your arms for the first time. Now imagine a doctor telling you that this little miracle has a possible life threatening congenital heart defect. I can because this happened to me. My daughter suffers from three different congenital heart defects. According to the American Medical Association Family Medical Guide, about 8 out of every 1,000 children are born with heart abnormalities, or congenital heart defects.( AMAFMG p. 389) The 4 most recurring defects are Pulmonary Stenosis, Aortic Stenosis, Atrial Septal Defect and Ventricular Septal Defect. ( Radiologic Technology 2008)…
Congenital (kon-JEN-ih-tal) heart defects are problems with the heart's structure that are present at birth. These defects can involve:…