aaahh! pediatrics brain fart!

Discussion in 'Step II' started by sophiejane, Jul 21, 2006.

  1. sophiejane

    sophiejane Exhausted
    Moderator Emeritus 7+ Year Member

    Joined:
    Sep 18, 2003
    Messages:
    2,778
    Likes Received:
    5
    Status:
    Resident [Any Field]
    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?
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  2. ucbdancn00

    ucbdancn00 Senior Member
    7+ Year Member

    Joined:
    Jul 14, 2002
    Messages:
    263
    Likes Received:
    2
    I'm pretty sure it's TOF (tetralogy of falot)

    hope that works...

    ucb
     
  3. OP
    OP
    sophiejane

    sophiejane Exhausted
    Moderator Emeritus 7+ Year Member

    Joined:
    Sep 18, 2003
    Messages:
    2,778
    Likes Received:
    5
    Status:
    Resident [Any Field]
    that's what I thought, too, but couldn't find that presentation in my books...

    thanks
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  4. ucbdancn00

    ucbdancn00 Senior Member
    7+ Year Member

    Joined:
    Jul 14, 2002
    Messages:
    263
    Likes Received:
    2
    the eating is effectively a "tet" spell if i'm not mistaken, except babies aren't able to squat to relieve it...

    ucb
     
  5. dynx

    dynx Yankee Imperialist
    15+ Year Member

    Joined:
    Jan 22, 2003
    Messages:
    4,579
    Likes Received:
    195
    Status:
    Fellow [Any Field]
    not sure how to spell it, but try choanal atresia.
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  6. ucbdancn00

    ucbdancn00 Senior Member
    7+ Year Member

    Joined:
    Jul 14, 2002
    Messages:
    263
    Likes Received:
    2
    so is it TOF or chonal atresia?

    or both?

    thanks

    ucb
     
  7. OP
    OP
    sophiejane

    sophiejane Exhausted
    Moderator Emeritus 7+ Year Member

    Joined:
    Sep 18, 2003
    Messages:
    2,778
    Likes Received:
    5
    Status:
    Resident [Any Field]
    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.
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  8. dynx

    dynx Yankee Imperialist
    15+ Year Member

    Joined:
    Jan 22, 2003
    Messages:
    4,579
    Likes Received:
    195
    Status:
    Fellow [Any Field]
    Sorry didnt see the "cardiac defect" portion of the original post
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  9. VincentAdultman

    VincentAdultman Senior Member
    Physician Gold Donor Verified Account 10+ Year Member

    Joined:
    Jun 18, 2005
    Messages:
    1,583
    Likes Received:
    2,028
    Status:
    Attending Physician

    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.
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...

Share This Page