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Old 07-07-2011
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Kids Child with delayed milestones and cyanosis

A child presents with delayed milestones, poor feeding, sob. On examination mild cyanosis and cleft palate is found. On auscultation SEM, single S2 is heard. Past history is significant for infection treatment. Which anomaly you suspect here?
A. pda
b. vsd
c. asd
d. tof
e. truncus arteriosus
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Old 07-07-2011
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My answer is E. I think he has DiGeorge syndrome which explains cleft palate and history of multiple infection treatments. Also truncus arteriosus has minimal cyanosis, SEm, thrill , loud single S2
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Old 07-07-2011
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yes, digeorge/velocardiofacial syndrome, answer is E
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Old 07-07-2011
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e. truncus arteriosus because cynosis and Past history is significant for infection
&SEM&cleft palate (Diageorge syndrom =catch22)
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Old 07-07-2011
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Quote:
Originally Posted by confident View Post
A child presents with delayed mile stone, poor feeding, sob. On examination mild cyanosis and cleft palate is found. On auscultation SEM , single s2 is heard. Past history is significant for infection treatment. Which anomaly you suspect here?
A. pda
b. vsd
c. asd
d. tof
e. truncus arteriosus
yes answer is E.Truncus arteriosus. Found in association with Digeorge syndrome. Due to deletion of chromosome 22 at q11.2 position.
C-cardiac anomaly
A-abnormal face
T-thymic aplasia
C-cleft palate
H-hypocalcemia
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The above post was thanked by:
yarasara77 (08-03-2012)



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Cardiology-, Pediatrics-, Step-2-Questions

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