Congenital Disorders III

Cardiovascular System


{"ops":[{"insert":"A 3-month-old girl is brought to the emergency department with a 3-week history of poor feeding. She is at the 10th percentile for height and below the 5th percentile for weight. On examination, temperature is 37 \u02daC (98.6 \u02daF), pulse is 120\/min, respirations are 50\/min, and blood pressure is 90\/30 mm Hg. She appears to be dyspneic. Physical examination shows a continuous murmur heard at the upper left sternal border. Peripheral pulses are bounding. A chest x-ray shows cardiomegaly with prominence of the left ventricle. Which of the following is the most likely diagnosis?"},{"insert":"\n"}]}

Background

{"ops":[{"insert":"\n"}]}

(A)

Aorticopulmonary window defect
{"ops":[{"insert":"\n"}]}

(B)

Patent ductus arteriosus
{"ops":[{"insert":"\n"}]}

(C)

Truncus arteriosus
{"ops":[{"insert":"\n"}]}

(D)

Ventricular septal defect
{"ops":[{"insert":"\n"}]}

(E)

Venous hum
{"ops":[{"insert":"\n"}]}

References

{"ops":[{"insert":"Bernstein, Daniel. Patent Ductus Arteriosus [online]. Nelson Textbook of Pediatrics, 2020 [viewed 08 September 2019]. Available from: https:\/\/www.us.elsevierhealth.com\/nelson-textbook-of-pediatrics-2-volume-set-9781455775668.html"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"SCHNEIDER DJ, MOORE JW. Patent ductus arteriosus. Circulation [online] 2006 Oct 24, 114(17):1873-82 [viewed 08 September 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17060397"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"BEGIC E, BEGIC Z. Accidental Heart Murmurs Med Arch [online] 2017 Aug, 71(4):284-287 [viewed 08 September 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5585808"},{"insert":"\n","attributes":{"list":"ordered"}}]}

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