Question of the Week 479

{“questions”:{“qff7c”:{“id”:”qff7c”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Melissa Colizza, MD – Stollery Children\u2019s Hospital, Edmonton Canada \r\n\r\nA 3-day-old boy is diagnosed with pulmonary atresia and an intact ventricular septum. After stabilization with a prostaglandin infusion, which of the following procedures is the MOST appropriate next step in management? “,”desc”:”EXPLANATION \r\n\tPulmonary atresia with intact ventricular septum (PA\/IVS) is a rare right-sided obstructive […]

Question of the Week 478

{“questions”:{“q7fvy”:{“id”:”q7fvy”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Melissa Colizza, MD – Stollery Children\u2019s Hospital – Edmonton AB, Canada \r\n\r\nA one-day-old girl without prenatal care has been admitted to NICU due to cyanosis. Pulse oximetry demonstrates a SpO2 of 80% on the right hand and 89% on the left foot. Which of the following diagnoses is MOST likely in this patient?\r\n\r\n”,”desc”:”EXPLANATION \r\nCyanosis […]

Question of the Week 477

{“questions”:{“jbe99”:{“id”:”jbe99″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Meera Gangadharan, MD, FASA, FAAP – University of Texas at Houston, McGovern Medical School, Children\u2019s Memorial Hermann Hospital \r\n\r\nA 3-week-old boy is admitted to the cardiac intensive care unit with acute congestive heart failure and generalized hypotonia. Transthoracic echocardiography demonstrates a dilated left ventricle with severely diminished function. Additionally, an ECG indicates a prolonged […]

Question of the Week 476

{“questions”:{“g4glk”:{“id”:”g4glk”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Meera Gangadharan, MD, FASA, FAAP – University of Texas at Houston, McGovern Medical School, Children\u2019s Memorial Hermann Hospital \r\nA 6-year-old girl with a history of orthotopic heart transplantation two years prior is undergoing routine cardiac catheterization and endomyocardial biopsy. After induction of anesthesia, the patient develops a regular, narrow-complex supraventricular tachycardia with a rate […]

Question of the Week 475

{“questions”:{“ifojw”:{“id”:”ifojw”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Meera Gangadharan, MBBS, FAAP, FASA – University of Texas Health Science Center at Houston\/McGovern Medical School, Houston, TX AND Destiny F. Chau, MD -Arkansas Children\u2019s Hospital\/University of Arkansas for Medical Sciences, Little Rock, AR \r\n\r\nA 5-year-old boy presents for urgent needle pericardiocentesis under ultrasound guidance. He has a pericardial effusion with signs of tamponade […]