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Forum Name: Pediatric Topics

Question: pediatric cardiopulmonary disease


 yalford - Wed Mar 19, 2003 2:06 am

can you tell me if these sign /symptoms would warrant a cardiac workup..2 month old with recent diagnosis of RSV returns with cc of cyanosis , decreased appetite and slight decrease in urinary output..child at this time is awake and attentive for age, moving all extremitiees...significant cyanosis of hands and feet are noted upon exam...especially when exposed to room air for a VERY brief time ..the child wsa recently hospitalized at a local pediatric facility and released the day prior to presenting here...my supposition is there is a failure of closure between the left and right sides of the heart or a patent aductus arteriosis..heart rate was 146/ sat was 100% on room air
 Dr. Elias Barrios MD - Sun Sep 18, 2005 6:30 am

Ussually left to right do not cause cyanosis but this can happen as a complication in the long run ; and a patent ductus arteriosus does not cause cyanosis but cardiac failure.
However if a rspiratory problem like a vrs is severe cyanosis can appear and demands a more aggressive treatment even with antiviral or inmunoglobulins. It looks more a cyanosis because a respiratory problem rather than a cardiac problem nevetheless a cardiac examination has to be done to be 100% sure that the heart is ok.

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