aaahh! pediatrics brain fart!

[sophiejane]

This is driving me crazy. What is the congenital heart defect that presents in infancy with sweating, cyanosis, and dyspnea during feedings....??

I KNOW I knew this at one point but can't remember and can't find it.

Does anyone else feel like stuff is falling out of your brain as fast as you are cramming it in?

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[ucbdancn00]

This is driving me crazy. What is the congenital heart defect that presents in infancy with sweating, cyanosis, and dyspnea during feedings....??

I KNOW I knew this at one point but can't remember and can't find it.

I'm pretty sure it's TOF (tetralogy of falot)

hope that works...

ucb

 

[sophiejane]

that's what I thought, too, but couldn't find that presentation in my books...

thanks

 

[ucbdancn00]

that's what I thought, too, but couldn't find that presentation in my books...

thanks

the eating is effectively a "tet" spell if i'm not mistaken, except babies aren't able to squat to relieve it...

ucb

 

[dynx]

that's what I thought, too, but couldn't find that presentation in my books...

thanks

not sure how to spell it, but try choanal atresia.

 

[ucbdancn00]

not sure how to spell it, but try choanal atresia.

so is it TOF or chonal atresia?

or both?

thanks

ucb

 

[sophiejane]

Choanal atresia presents with babies who are obligate mouth breathers and turn blue when they cry. They are usually diagnosed in the hospital before discharge, unless it's unilateral and more mild.

But it seems like there are some of the same symptoms...on the question I was referring to (NBME form 2) the only options were heart defects.

Also, I don't think you'd see the ANS signs (sweating) with choanal atresia.

But I can see how both might be in the differential.

 

[dynx]

Choanal atresia presents with babies who are obligate mouth breathers and turn blue when they cry. They are usually diagnosed in the hospital before discharge, unless it's unilateral and more mild.

But it seems like there are some of the same symptoms...on the question I was referring to (NBME form 2) the only options were heart defects.

Also, I don't think you'd see the ANS signs (sweating) with choanal atresia.

But I can see how both might be in the differential.

Sorry didnt see the "cardiac defect" portion of the original post

 

[VincentAdultman]

Choanal atresia presents with babies who are obligate mouth breathers and turn blue when they cry. They are usually diagnosed in the hospital before discharge, unless it's unilateral and more mild.

But it seems like there are some of the same symptoms...on the question I was referring to (NBME form 2) the only options were heart defects.

Also, I don't think you'd see the ANS signs (sweating) with choanal atresia.

But I can see how both might be in the differential.

Kind of nonspecific symptoms to make a dx? More than one thing can produce cyanosis and any type of heart failure can lead to feeding intolerance. Then again, I feel that I'm becoming dumber with more studying.

July 27th cannot get here soon enogh.