Cyanotic congenital heart defects: Pathology review
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Questions
USMLE® Step 1 style questions USMLE
of complete
A 1-day-old female newborn is being evaluated in the neonatal intensive care unit for severe respiratory distress and cyanosis. The patient was born at 38 weeks gestation via vaginal delivery to a 30-year-old woman who had minimal prenatal care. Temperature is 36.4°C (97.5°F), pulse is 150/min, blood pressure is 87/55 mm Hg, and respiration rate is 60/min. An electrocardiogram reveals left axis deviation with a superior axis and chest x-ray shows decreased pulmonary markings and a hypoplastic right ventricle. Which of the following is the most likely diagnosis?
Memory Anchors and Partner Content
Sources
- "Pathophysiology of Heart Disease" Wolters Kluwer Health (2015)
- "Robbins Basic Pathology" Elsevier (2017)
- "Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2)" McGraw-Hill Education / Medical (2018)
- "Cyanosis of the newborn infant" The Journal of Pediatrics (1970)
- "Diagnosis and management of the newborn with suspected congenital heart disease" Clin Perinatol (2001)
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