Challenge: Based on the diagram, what's the defect called? Should you use prostaglandins or indomethacin?Image shown under Fair Use.
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I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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6 comments:
looks like transposition of the great vessels. give prostaglandin to keep the ductus open until baby gets surgery.
Transposition of the great arteries. Prostaglandines is the therapy.
Transposition of the great vessels - use prostaglandins to keep the PDA open until you can fix surgicallY.
Transposition of the great arteries. Give prostaglandins to keep that ductus arteriosus patent!
Transposition of great vessels.... PDA in such patients allows partial oxygenation of blood.... so prostaglandins should be used to keep the PDA open.... Indomethacin will lead to closure of PDA
wow! this one was a popular case (maybe it was too easy? :P) but you guys are awesome, i dont think i remember this much peds :)
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Diagram
In transposition of the Great Arteries (dextro type shown here), the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. This creates two parallel circulations, one with deoxygenated blood on the systemic side and oxygenated blood on the pulmonary side. Infant survival depends on the presence of a patent foramen ovale, VSD, or patent ductus arteriosus. Prostaglandin E is administered to maintain the PDA.
Source: UpToDate, including image.
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