CJ is a 16-year-old high school student who is in the clinic for a sports physical prior to beginning basketball practice. He has no known significant medical history, takes no medications, and has no allergies. Subjective data reveal only that CJ is short of breath earlier than most boys on the team. He attributes this to needing to get into better physical condition. The physical is unremarkable except for a grade III systolic murmur heard over the entire precordium. An echocardiogram and cardiac catheterization reveal a ventricular septal defect (VSD) with moderate pulmonary hypertension.
Discussion Questions:
1. A VSD is usually an acyanotic defect. Why is this?
2. What is the mechanism of pulmonary hypertension? What may result if it is prolonged?
3. What other disorders besides VSD can produce a systolic murmur? How can character of the murmur and pattern of radiation be used to differentiate among the etiologic factors?
4. Is it necessary to close a VSD? What are the common complications of untreated VSD?
Answers: 2
Health, 22.06.2019 05:00
Adebate between dietitian and nutritionist the difference between certification and licensing within these two professions
Answers: 1
Health, 22.06.2019 22:10
Wich technque is not recommended for use as a supporting detail
Answers: 2
Health, 23.06.2019 07:30
Once you have come to a decision, you should "go" over it and
Answers: 2
Health, 23.06.2019 14:00
If a doctor needs using a medical imaging machine, a might be called to assist the doctor.
Answers: 1
CJ is a 16-year-old high school student who is in the clinic for a sports physical prior to beginnin...
Mathematics, 06.05.2021 18:50
Mathematics, 06.05.2021 18:50
Mathematics, 06.05.2021 18:50
Social Studies, 06.05.2021 18:50
Mathematics, 06.05.2021 18:50
Mathematics, 06.05.2021 18:50
Mathematics, 06.05.2021 18:50
English, 06.05.2021 18:50
Chemistry, 06.05.2021 18:50
Advanced Placement (AP), 06.05.2021 18:50
Mathematics, 06.05.2021 18:50
English, 06.05.2021 18:50