Ventricular Septal Defect

What this deck covers

Ventricular Septal Defect in twelve clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The 12 cases, in order

1. Recognition
2. The feeding history
3. The clinic chart
4. Why now
5. The murmur
6. The radiograph
7. The whole child
8. Starting treatment
9. The mother’s question
10. The decision
11. The deadline
12. What the parents ask

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Reflux causing feed refusal, Heart failure from a large shunt, Cow’s milk protein allergy, Length falling first, with weight preserved, Head circumference crossing centiles upwards, Pulmonary resistance falls, so the shunt grows, A loud murmur means a larger defect, A loud murmur suggests a smaller defect, Patchy consolidation in both lower zones, Hyperinflation with small lung markings, A normal film, An isolated small muscular defect, A patent ductus arteriosus, Pulmonary stenosis, An atrioventricular septal defect, A diuretic and high-energy feeds, Oral antibiotics to prevent endocarditis, Oxygen at home overnight, Poor growth despite treatment, by six months, The loudness of the murmur, Parental preference for early repair, Irreversible pulmonary vascular disease.

Clinical pearls from this deck

• A feed is exercise. Forty minutes with rests, and a vest wet with sweat, is a cardiac symptom in an infant.
• Ask how long the feed takes. It turns an anxious description into a measurement you can follow.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.

More from this system: all cardiology decks and question sets · pediatric reference values.