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Assessment of the Neonate with Congenital Heart Disease

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Assessment of the Neonate with Congenital Heart Disease

Transient Ductus Murmur of the Healthy Newborn. Soft systolic murmur, grade 1-2 in intensity, often higher pitched. ... Murmur frequently sounds benign and is often overlooked! Murmur: due to increased flow across pulmonary valve .

http://www.ohsu.edu/xd/health/services/doernbecher/research-education/education/residency/upload/res_lounge_CardiacMurmursforMBU.pptx

Date added: July 9, 2012 - Views: 60

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Evaluation of Heart Murmurs - University of Massachusetts ...

... Distinguishing pathologic from innocent murmurs Common innocent pediatric murmurs Further work-up of a concerning murmur Initial cardiac ... (further cardiac evaluation to follow…) Auscultation Rate & regularity Heart sounds Focus particularly on ... of the newborn Venous hum ...

http://www.umassmed.edu/PageFiles/46265/Nelson%20-%20JFK%20pedi%20curriculum%20-%20pedi%20cardiology%20MURMURS%20ONLY.ppt

Date added: August 24, 2014 - Views: 5

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Innocent Systolic Murmur Chapter 13 - University Hospital

Innocent Systolic Murmur Chapter 13 Are G. Talking, MD, FACC Instructor Patricia L. Thomas, MBA, RCIS Outline Characteristics of an Innocent Murmur Characteristics of a Pathological Murmur Where Systolic Murmurs May be Produced Classification Still’s Vibratory Systolic Murmur Physiological ...

http://www.universityhealth.org/documents/CVT%20School/Chapter%2013%20tilk.ppt

Date added: December 14, 2011 - Views: 54

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Respiratory Distress in Newborn - Emory University

Respiratory Distress in Newborn Leena Mane PGY 3 Resident Emory Family Medicine Rhea Mane ... On repeat examination the child is tachypneic, with subcostal retractions. Lung sounds are clear and there is no heart murmur. What Next ? Tests & labs…

http://fpm.emory.edu/family/didactics_for_cascade/powerpint/NewbornRespProbs.ppt

Date added: October 18, 2011 - Views: 65

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Congenital heart disease and Murmurs - Birmingham City University

Dr David Roden Neonatologist Staffordshire, Shropshire and Black Country Newborn Network * Up to six in every 1000 live born babies have a cardiovascular malformation1 which presents in infancy, but most are asymptomatic at birth.1–4 Auscultation of the heart during routine examination before ...

http://www.bcu.ac.uk/_media/docs/Health_Evaluation_of_congenital_heart_disease.ppt

Date added: January 23, 2013 - Views: 31

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THE PHYSICAL EXAMINATION IN CARDIOLOGY - Uniformed Services ...

... louder with inspiration Murmur: Sounds made by turbulence in the heart or blood stream Can be benign ... Edema (cont.): Locations: Periorbital Scrotal Pre-sacral Hand/foot area Nonpitting pedal/hand edema or lymphedema in a newborn: think Turner’s or Noonan’s syndrome Liver: ...

http://www.usuhs.mil/pediatrics/education/resources/individualclerkshipsites/modules/Cardiac%20Physical%20Exam%20and%20Innocent%20Murmurs%20Presentation.ppt

Date added: October 5, 2011 - Views: 212

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Heart Murmurs and Heartworms - Texas A&M University

Heartworms and Heart Murmurs An introduction to problems that can occur in the heart Partnership for Environmental Education and Rural Health Texas A&M University

http://peer.tamu.edu/VBB/Lessons/VBB%20Heart%20Disease%20Heart%20Murmurs%20and%20Heartworms.ppt

Date added: October 10, 2011 - Views: 83

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Neonatal Nursing Care Neonatal Complications

Cardiac Defects Cardiac Defects Nursing Care of the Newborn with Inborn Errors of Metabolism ... Nursing Assessments Barrel chest and scaphoid abdomen Asymmetric chest expansion Absent breath sounds Displacement of heart sounds ... Symptoms Cyanosis Heart murmur Signs of ...

http://www.epcc.edu/ssin/Maternal_and_Womens_Health/Newborn_Nursing_Care-Part_5.ppt

Date added: June 11, 2012 - Views: 111

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Heart Murmurs and Heartworms - Texas A&M University

* Courtesy karencast, on Flickr * Discuss with the students what a normal heartbeat sounds like. ... When the newborn's lungs take over at birth, ... What does the PDA murmur sound like?

http://peer.tamu.edu/VBB/Lessons/HD/VetPresentation/HD%20-%20Heart%20Disease.ppt

Date added: October 16, 2011 - Views: 82

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The Pediatric Heart - Dr. Lisa A. Wildcatt

Newborn Murmur. Heard in the first few days of life. Left lower sternal border, without significant radiation. ... Heart Sounds. Normal Heart Sound. Innocent Heart Murmur. Split 2. Venous Hum. VSD. Aquired Heart Disease. Kawasaki Disease. Rheumatic Heart Disease.

http://www.lisawildcatt.com/downloads/The%20Pediatric%20Heart.ppsx

Date added: December 28, 2013 - Views: 21

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Neonatal Diseases - Orange Coast College

Neonatal Diseases RC 290 ... are: Intracranial Bleed BPD (Bronchopulmonary Dysplasia) PDA (Patent Ductus Arteriosus) Transient Tachypnea of the Newborn ... hyperactive pre-cordium Decreased breath sounds and possibly some crackles Possible murmur over left sternal border Murmur is ...

http://occonline.occ.cccd.edu/online/dfarrell/Neonatal%20Diseases.ppt

Date added: October 10, 2011 - Views: 116

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The Respiratory System and Acute Causes of Distress in the ...

Respiratory Diseases of the Newborn Beth ... grunting HR 180—with murmur BP 42/30 with MAP 36 SaO2 on 100% blow by 88% * Scenario 5. Color ... Presentation Respiratory Assessment Respiratory rate Quality Shallow Deep Nasal Flaring Grunting Retractions Breath Sounds * Clinical ...

http://www.pediatrics.emory.edu/divisions/neonatology/apnec/respiratory%20diseases%20of%20newborn.ppt

Date added: October 11, 2011 - Views: 148

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Newborn Exam and Gestational Age Assessment

PDA murmur sound link: ... Inspect first. Listen for bowel sounds. Present or absent. Feel the tummy! Palpate for liver, spleen, kidneys, and presence of masses. Genitourinary Exam: Male. Penis: Phimosis is normal!!! ... Newborn Exam and Gestational Age Assessment

http://old.med.ufl.edu/chfm/fprp/fpmg/Newborn%20Introduction.pptx

Date added: March 10, 2013 - Views: 115

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Neonatal Nursing Care: Part2 - El Paso Community College

... Expiratory grunting or sighing Seesaw respirations Tachypnea Cardiac Variations Heart is large Low pitched murmur Decreased strength or absence of femoral pulses ... Assessments Newborn Measurements Cephalhematoma ... and soft Bowel sounds present by 1 hour after ...

http://www.epcc.edu/ssin/Maternal_and_Womens_Health/Newborn_Nursing_Care-Part_2.ppt

Date added: February 22, 2013 - Views: 20

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Cardiology Board Review - LSU Health Sciences Center New Orleans

Heart Sounds. S1: AV valve closure. S2: Aortic and pulmonary valve closure (split) A2. ... Systolic murmur best heard above the clavicles, ... Infants are ill in newborn nursery with severe pulm edema, pulm HTN, and cyanosis. Cyanotic CHD.

http://www.medschool.lsuhsc.edu/pediatrics/residents/docs/Cardiology%20Board%20Review%20Final%20for%20real.pptx

Date added: February 3, 2012 - Views: 116

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Persistent Pulmonary Hypertension of Newborn

Persistent Pulmonary Hypertension of the Newborn By Jennifer Stevenson ... Later developments Within a few hours after birth tachypnea retractions systolic murmur mixed acidosis, ... Breath sounds and CXR are usually normal.

http://classes.kumc.edu/cahe/respcared/pulmonary/pphn.pps

Date added: September 6, 2011 - Views: 229

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Cardiac

Cardiac Elisa A. Mancuso RNC, MS, FNS Professor of Nursing

http://www2.sunysuffolk.edu/mancuse/nursing/NUR246%20Fall%202009/CardiacRevcopy09.ppt

Date added: January 27, 2012 - Views: 28

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High Risk Newborn - Southeast Missouri State University

At-Risk Newborn Twila Brown, PhD, RN ... scaphoid abdomen Asymmetric chest expansion Absent breath sounds on effected ... Overview of Class Congenital anomalies Characteristics and potential problems Preterm & postterm Small for gestational age & large for gestational age General concerns ...

http://cstl-hhs.semo.edu/orourke/NS281/PowerPoint%20Outlines/High%20Risk%20Newborn%20Conditions%20Present%20at%20Birth.ppt

Date added: January 20, 2013 - Views: 64

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Newborn Assessment and Care (chapter twelve) power points - Quia

Other Newborn Care issues Bulb ... Ongoing assessment of cardio respiratory status that has occurred since birth More thorough heart assessment Murmur may be present ... Passage of meconium Placement and patency of anus Abdomen should be soft and non tender Round but not distended Bowel sounds ...

http://www.quia.com/files/quia/users/valgal59/OB/Newborn-Assessment-and-Care

Date added: October 26, 2011 - Views: 146

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Newborn Exam - Heritage College of Osteopathic Medicine

The Newborn Examination Karen Montgomery-Reagan, D.O. OUCOM ... irregular Murmur Quality, radiation, ... immediate surgical consultation Abdominal Auscultation Normoactive bowel sounds all four quadrants 0 Abdominal Palpation Abdominal Localized Mass Gastrointestinal Duplications, ...

http://www.oucom.ohiou.edu/academicaffairs/preclinical/cce/communityforms/Dr.%20Reagan%20Newborn%20Exam.ppt

Date added: August 26, 2013 - Views: 38

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Hypertrophic Cardiomyopathy - The University of Tennessee ...

Hypertrophic Cardiomyopathy Board Review ... and the heart sounds are distant with a probable third heart sound present, ... The murmur of hypertrophic obstructive cardiomyopathy is usually loudest between the lower left sternal border and the apex.

http://www.uthsc.edu/cardiology/ppt/Hypertrophic_Cardiomyopathy.ppt

Date added: October 8, 2011 - Views: 185

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Slide 1

Associates in Newborn Medicine, PA, St. Paul ... of the aorta* Valvular defects * May present as cyanotic or acyanotic Congenital Heart Disease Presenting features Murmur +/ Tachypnea Cyanosis ... Objective Data Physical exam findings: Breath sounds Stridor Severity Laboratory data: CBC w ...

http://newbornmed.com/wp-content/uploads/2010/03/Powerpoint-FINAL_Bergeron_on-neo-template.ppt

Date added: January 1, 2013 - Views: 26

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MAS/PPHN - University of Chicago

Breath sounds are coarse and equal. There is no heart murmur. ... Pediatrics” Which medication used by the mother during pregnancy is the most likely to cause PPHN in the newborn phenobarbital captopril aspirin bupropion levothyroxine Answer : ...

http://pediatrics.uchicago.edu/chiefs/documents/MAS.ppt

Date added: April 24, 2012 - Views: 91

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Patent Ductus Arteriosus

CASE 2 Group C

http://www.pcom.edu/targeted/fr/8912.ppt

Date added: July 10, 2013 - Views: 10

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Slide 1

Newborn Heart Exam Examine within the first ... CLINICAL NOTE Coarctation of the Aorta Difference in pulse amplitude between femoral and radial pulses Infant Heart Sounds www.wilkes.med.ucla ... Systolic Unaccompanied by other signs and symptoms CLINICAL NOTE A murmur is usually ...

http://w3.palmer.edu/oneill/OBPEDS/PPT%20FW%2006/Heart%20(C%20FW06).ppt

Date added: October 12, 2011 - Views: 96

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Newborn Care and Assessment - Mrs. Kim Martin - Home

Newborn Care and Assessment. Kim Martin RN, MSN . Nursing Instructor. ... Breath sounds present and clear in all lobes. Abnormal. Tachypnea after 1st hour. ... = systolic murmur, active precordium, bounding peripheral pulses. Medical Management. indomethacin ...

http://ksmartin.weebly.com/uploads/6/7/8/6/6786788/newborn_care_and_assessment.pptx

Date added: August 9, 2013 - Views: 27

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Sickle Cell Disease - Wayne State University School of Medicine

Sickle Cell Disease Paolo ... maxillary hyperplasia Cardiac: murmur Respiratory: assymetry of breath sounds Approach Physical examination Abdomen: assess for spleen, Murphy’s sign GU: priapism Extremities: edema, infllammation Approach Work-up Newborn screen CBC, reticulocytes ...

http://www.med.wayne.edu/elab/impeds/content/boardreview/medped/hematology/Sickle%20Cell%20Disease.ppt

Date added: August 23, 2011 - Views: 65

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No Slide Title

Routine care of the newborn at delivery Dry baby with clean cloth and place where the baby will be warm Look for: ... both heart sounds were audible and there was no murmur Abdomen: soft, bowel sounds were active Neurology: muscle tone middle, ...

http://www.ichrc.org/sites/default/files/p_org_3e_0.ppt

Date added: October 28, 2014 - Views: 1

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High Risk Newborn

High Risk Newborn: Part II ...

http://cstl-hhs.semo.edu/orourke/NS281/PowerPoint%20Outlines/High%20Risk%20Newborn%20Part%20II.ppt

Date added: May 9, 2013 - Views: 28

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Shock in the Newborn - El Paso Campus

COMPLICATIONS Complications: Complications of neonatal shock are related to ... hepatomegaly, cardiomegaly, and a heart murmur suggestive of tricuspid ... refill time, tachycardia, mottling of the skin, cool extremities, and decreased urine output. Give attention to heart sounds ...

http://elpaso.ttuhsc.edu/fostersom/pediatrics/neonatology/documents/lectures/shockinthenewborn.ppt

Date added: April 18, 2014 - Views: 19

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Patent Ductus Arteriosus - Philadelphia College of ...

To listen to heart sounds that determine healthy heart function, a physician ... from the right atrium to the left atrium and then to the lungs for the exchange of oxygen and carbon dioxide and the newborn begins to ... A patient with an open or patent foramen ovale will have a heart murmur.

http://www.pcom.edu/targeted/fr/1815.ppt

Date added: March 25, 2012 - Views: 29

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POSTNATAL CHECK - pennine-gp-training.co.uk

NEWBORN & 6 WEEK CHECK Kavitha Kanakanti Lydia Scott CHEST/ARMS LUNGS – resp rate, breath sounds HEART – heart rate, murmurs ARMS – inspect, brachial pulses HANDS – palms, count fingers Asymptomatic heart murmur Ensure asymptomatic & feeding well Check femoral pulses & pulse oximetry ...

http://www.pennine-gp-training.co.uk/Newborn-6_week_check-HDR-2010.ppt

Date added: October 11, 2011 - Views: 21

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Patent Ductus Arteriosus - MY Professional portfolio

Clear and equal Breath sounds. Heart : Normal rate and rhythm, with III/VI murmur at left upper sternal border. Brachial and femoral pulses palpable. ... Newborn Screening Test . Pediatrician follow-up .

http://www.socorroquimson.com/uploads/2/7/3/3/27336313/pda-_final.pptx

Date added: September 10, 2014 - Views: 1

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The Bronchial Breath Sound - s, su

... Auscultation: Heart rate Newborn=70-120 Preschool child ... inflammed and roughened The sound that a pleural friction rub makes is a leather-on-leather type of sound These sounds can be heard at ... the aortic valve closes first in S2. The intensity of the murmur is next ...

http://www.ssu.ac.ir/fileadmin/templates/fa/daneshkadaha/daneshkadah_pezeshki/goroha/kodakan/Upload_DP_Koodakan/powerpoint/physical3_01.ppt

Date added: May 2, 2013 - Views: 9

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PowerPoint Presentation

... Pulm: tachypneic, decreased lung sounds at bases, crackles heard bilaterally posterior lung fields CV: 3/6 systolic murmur loudest at LUSB, bounding palmar pulses, active precordium, 2+femoral pulses, CR <2 seconds Abdomen: soft, active bowel sounds Skin ... PowerPoint Presentation ...

http://pediatrics.uchicago.edu/chiefs/documents/PDA.ppt

Date added: May 14, 2012 - Views: 42

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RESPIRATORY DISTRESS IN NEWBORN - House Officers Workshop ...

breath sounds diminished on side of pneumothorax. ... Meconium aspiration. Serial radiographs in a newborn with uncomplicated meconium aspiration. Radiograph obtained shortly after birth shows ill-defined, ... Heart murmur. DIAGNOSIS.

http://myhow.files.wordpress.com/2012/01/part-3.pptx

Date added: March 22, 2012 - Views: 76

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Assessment Of Risk In The Term Newborn, 2nd - March of Dimes

Nurses should evaluate and monitor any murmur or cyanosis in the neonate because they are signs of ... murmurs and character of sounds Femoral pulses in comparison with pulses in the upper extremities Abdomen The nurse assesses ... Newborn Screening and Genetic Testing The ...

http://www.marchofdimes.org/nursing/modnemedia/othermedia/slides/Risk_Assess_2.ppt

Date added: September 6, 2014 - Views: 1

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Cardiac - Pediatric Nursing

... Chest pain Decreased activity level Syncope Slight of build Heart Sounds Heart Sounds ... Diagnosis Heart murmur or AS is a ... prophylaxis especially if valve replacement Hypoplastic Left Heart One of the most complex defects seen in the newborn and the most challenging of ...

http://www.pedstudent.com/wp-content/uploads/2008/09/cardiac_06.ppt

Date added: December 12, 2013 - Views: 2

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Pediatric Physical Exam - Palmer College of Chiropractic ...

Age Descriptors Newborn birth to 2 months Infant 0-1 year Toddler 1-2 years Child 2+ years ... Infant Localization of breath sounds is difficult Breath sounds are easily ... Pneumothorax Shifts apical pulse away from the area of pneumothorax Diaphragmatic hernia MC on the left ...

http://w3.palmer.edu/oneill/OBPEDS/PPT%20FW%2007/Pediatric%20Physical%20Exam%20(C%20SU07).ppt

Date added: August 27, 2011 - Views: 241

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Pulmonary mass in a neonate - El Paso Campus

in a Neonate Filomena Hazel R ... intact palate Lungs and Chest: anteriorly - clear and equal breath sounds; posteriorly - slightly decreased breath sounds on the left hemithorax, ICS retractions, mild tachypnea Chest: normal rate and rhythm, pulses equal on all extremities, no murmur Abdomen ...

http://elpaso.ttuhsc.edu/fostersom/pediatrics/neonatology/documents/presentations/VillaFilomena.Dr.ppt

Date added: April 23, 2014 - Views: 6

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Cardiac - Pediatric Nursing

Cardiac Lecture Jan Bazner-Chandler ... prophylaxis especially if valve replacement Hypoplastic Left Heart One of the most complex defects seen in the newborn and the most challenging of all the ... and oral cavity Thorax and lung Cardiovascular system Heart Sounds Heart Murmurs These sounds are ...

http://pedstudent.com/wp-content/uploads/2011/08/cardiac_10.ppt

Date added: December 28, 2013 - Views: 41

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No Slide Title

Routine care of the newborn at delivery Dry baby with clean cloth and place where the baby will be warm Look for: ... both heart sounds were audible and there was no murmur Abdomen: soft, bowel sounds were active Neurology: muscle tone improved, ...

http://www.ichrc.org/sites/default/files/p_org_3d_1.ppt

Date added: October 28, 2014 - Views: 1

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PowerPoint Presentation

The Normal Newborn ADAPTATIONS ... Passage of meconium Placement and patency of anus Abdomen should be soft and non tender Round but not distended Bowel sounds are ... Ongoing assessment of cardio respiratory status that has occurred since birth More thorough heart assessment Murmur may be ...

http://www.quia.com/files/quia/users/valgal59/RN-Newborn-Care

Date added: August 3, 2013 - Views: 5

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Case follow up - PEM-Database

... Posturing Seizures Typical odor Burnt sugar or caramelized sugar May not be prominent Metabolic acidosis Late finding Newborn Screening Phenylketonuria Maple ... Cyanosis Tachypnea Murmur may be absent “Egg on a stick appearance ... Scant bowel sounds Guaic negative ...

http://www.pemdatabase.org/files/septic_appearing_infant.ppt

Date added: August 29, 2011 - Views: 47

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QOD Development - Robert Wood Johnson Medical School

QOD Development - Robert Wood Johnson Medical School ... QOD Cardiology

http://gpph.rutgers.edu/departments_institutes/pedspweb/residency/documents/QODCardiology.ppt

Date added: August 8, 2014 - Views: 1

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Slide 1

Heart sounds First heart sound is ... (valve is not normally touched in newborn ... R L shunt through ASD or PFO Increased pulmonary vascular resistance in the neonatal period compounds this problem Murmur CXR EKG Physical exam Heart sounds First heart sound widely split with loud ...

http://cincyneo.wikispaces.com/file/view/Ebsteins_Merhar.ppt

Date added: November 12, 2011 - Views: 19

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CYANOTIC CONGENITAL HEART DISEASE in neonates & infants

APPROACH TO CYANOTIC ... Ebstein’s anomaly History of SVT Generally good effort tolerance Cardiomegaly Multiple heart sounds (split S1, split ... DORV Clinical findings CCHD with decreased pulmonary blood flow Quiet precordium Single S2 Murmurs Ejection systolic murmur at the base ...

http://accindia.org/Presentations/Dr.%20RSK%20-%20CYANOTIC%20CONGENITAL%20HEART%20DISEASE.ppt

Date added: November 29, 2013 - Views: 15

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Chapter 19

... absence of a murmur in immediate newborn period does not ensure a perfect heart Congenital defects can be present that are not signaled by an early murmur Best to ... and shivering interferes with heart sounds Take scrupulous care to ensure quiet; heart sounds are very soft, and any ...

http://mydsn.net/docs-tools/NRS103/Dobi/Chapter_019.ppt

Date added: May 31, 2014 - Views: 2

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Mechanical Ventilation in Neonates - anaesthesia.co.in

... Normal Newborn Jaw Tongue Newborn with Robin Syndrome Abnormally small Jaw Tongue airway at posterior pharynx Robin Syndrome Prone positioning and a nasopharyngeal tube are often effective Impaired Lung Function Pneumothorax Breath sounds diminished ... tone Murmur of TR ...

http://anaesthesia.co.in/wp-content/uploads/2012/05/Special-Consideration.ppt

Date added: May 28, 2013 - Views: 6

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… Read Document - Caangay Family Site

Apgar score of a newborn delivered limp, cyanotic ... laryngomalacia. Diminished breath sounds on either side suggests pneumonic ... of murmur. If present, determine intensity, timing, location and radiation Functional vs pathologic Functional murmur: brief, soft, systolic and ...

http://www.caangay.com/2ndyearfatima/documents/Pediatrics/NBEXAM.PPT

Date added: October 10, 2011 - Views: 34