aaahh! pediatrics brain fart!

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

  1. sophiejane

    sophiejane Exhausted
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    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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  3. ucbdancn00

    ucbdancn00 Senior Member
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    I'm pretty sure it's TOF (tetralogy of falot)

    hope that works...

    ucb
     
  4. sophiejane

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

    thanks
     
  5. ucbdancn00

    ucbdancn00 Senior Member
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    the eating is effectively a "tet" spell if i'm not mistaken, except babies aren't able to squat to relieve it...

    ucb
     
  6. dynx

    dynx Yankee Imperialist
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    not sure how to spell it, but try choanal atresia.
     
  7. ucbdancn00

    ucbdancn00 Senior Member
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    so is it TOF or chonal atresia?

    or both?

    thanks

    ucb
     
  8. sophiejane

    sophiejane Exhausted
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    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.
     
  9. dynx

    dynx Yankee Imperialist
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    Sorry didnt see the "cardiac defect" portion of the original post
     
  10. VincentAdultman

    VincentAdultman Senior Member
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    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.
     

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