Congenital Disorders IV

Cardiovascular System


{"ops":[{"insert":"A 2-month-old girl is brought to the physician because of poor feeding, sweating during feeding and bluish discoloration of the lips when crying. She is below the 5th percentile for both height and weight. Cardiac examination shows a right parasternal heave. A grade 3\/6 systolic ejection murmur is heard over the left second intercostal space. During the examination, the infant begins crying and becomes cyanotic; during this time, the murmur is noted to be barely audible. Which of the following is the most likely diagnosis?"},{"insert":"\n"}]}

Background

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

(A)

Tetralogy of Fallot
{"ops":[{"insert":"\n"}]}

(B)

Transposition of the great vessels
{"ops":[{"insert":"\n"}]}

(C)

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

(D)

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

(E)

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

References

{"ops":[{"insert":"BAILLIARD F, ANDERSON RH. Tetralogy of Fallot. Orphanet J Rare Dis [online] 2009 Jan 13:2 [viewed 13 September 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19144126"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"RAO PS. Management of Congenital Heart Disease: State of the Art-Part II-Cyanotic Heart Defects. Children (Basel) [online] 2019 Apr 4 [viewed 15 September 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30987364"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"Bernstein, Daniel. Tetralogy of Fallot [online]. Nelson Textbook of Pediatrics, 2020 [viewed 15 September 2019]. Available from: https:\/\/www.us.elsevierhealth.com\/nelson-textbook-of-pediatrics-2-volume-set-9781455775668.htm"},{"insert":"\n","attributes":{"list":"ordered"}}]}

Want to continue playing?

Open your Clinical Odyssey account today.


Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.