Question of the Week 573

{“questions”:{“3iz2j”:{“id”:”3iz2j”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Evan Hasson, BS – University of Miami Miller School of Medicine AND Michael Evans, MD \u2013 Ann & Robert H. Lurie Children\u2019s Hospital of Chicago \r\nA 42-year-old man with a history of repaired tetralogy of Fallot presents for pulmonary valve replacement due to severe pulmonic regurgitation, right ventricular dilation, and atrial arrhythmias. He reports […]

Question of the Week 572

{“questions”:{“3c07q”:{“id”:”3c07q”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Melissa Colizza, MD – Stollery Children\u2019s Hospital – Edmonton AB Canada\r\nA patient presents to the holding area prior to receiving non-intravenous sedation for a transthoracic echocardiogram. Which of the following patients is MOST LIKELY to require the highest mcg\/kg dose of intranasal dexmedetomidine to achieve therapeutic effect for their planned echocardiogram?\r\n”,”desc”:”EXPLANATION \r\nFor a long […]

Question of the Week 571

{“questions”:{“wqogh”:{“id”:”wqogh”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Manal Mirreh, MD AND Asif Padiyath, MBBS – Children\u2019s Hospital of Philadelphia \r\nA 13-month-old 8 kg child with hypoplastic left heart syndrome (HLHS) status post Stage 1Norwood followed by bidirectional Glenn at 7 months of age presents for diagnostic cardiac catheterization for hypoxia with oxygen saturation of 60-65%. Superior vena cava (SVC) angiograms demonstrated […]

Question of the Week 570

{“questions”:{“in279”:{“id”:”in279″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Joseph Vitale, MD – Cincinnati Children\u2019s Hospital AND Fernando Cuadrado, MD – Cincinnati Children\u2019s Hospital \r\nA 4\u2011month\u2011old female with a history of Trisomy 21 and a Rastelli type A atrioventricular septal defect (AVSD) presents for surgical repair using a two\u2011patch technique. Pre\u2011operative TTE demonstrated trivial common AV valve regurgitation, a large inlet VSD with […]

Question of the Week 569

{“questions”:{“78hed”:{“id”:”78hed”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Maxwell James, MD \u2013 University of Mississippi Medical Center AND\r\nStephanie N. Grant, MD, FAAP \u2013 Emory University School of Medicine\/ Children\u2019s Healthcare of Atlanta \r\n\r\nA six-month old female with hypoxemia and elevated mean pulmonary artery pressure (mPAP) is undergoing a diagnostic cardiac catheterization. She demonstrates reactivity during acute vasodilator testing with an improvement in […]