Crimes Of The Heart

Crimes Of The Heart
Crimes Of The Heart
Tiffany is concerned about her infant baby.
Caleb has been refusing to eat since she brought him home from the hospital, and he appears to be breathing too hard all of the time.
She quit breastfeeding and tried every bottle and formula available, but nothing worked.
So, as they set Caleb on the scale at his one-month check-up, her stomach is in knots.
“9 pounds, 7 ounces,” the nurse adds.
Tiffaney bursts into tears when she finds Caleb has barely gained one pound since birth.
Tiffaney is concerned about her infant baby.
Caleb has been refusing to eat since she brought him home from the hospital, and he appears to be breathing too hard all of the time.
She quit breastfeeding and tried every bottle and formula available, but nothing worked.
So, as they set Caleb on the scale at his one-month check-up, her stomach is in knots.
“9 pounds, 7 ounces,” the nurse adds.
Tiffaney bursts into tears when she finds Caleb has barely gained one pound since birth.
Dr. Baker examines Caleb in the exam room, taking special care to feel and listen to his chest.
Tiffaney describes her difficulties with getting her son to eat and how he tears virtually the entire day throughout the exam.
“When I listen to Caleb’s heart, I notice an extra sound called a murmur,” Dr. Baker explains after the test.
I’d like to use an echocardiography and an ECG to acquire a good view of all of his heart’s components.”
Tiffaney visits with Dr. Baker in his office after a full day of exams.
“After carefully reviewing all of the evidence, I have discovered that Caleb has a hole in the heart muscle wall between his right and left ventricles,” he says.
It’s known as a ventricular septal defect.
That’s presumably why he’s been irritable and difficult to feed.
The hole isn’t particularly large, but he’ll still require surgery to patch it.”
Tiffaney is pleased to hear why things have been so difficult at home, despite the fact that the notion of her tiny kid undergoing surgery is horrifying.
Questions with Short Answers:
1. Dr. Baker spends a significant amount of time listening to (auscultating) Caleb’s heart.
Where do you think the ideal spot would be to listen to Caleb’s odd heart sound?
Explain your response.
2. Caleb had unusual cardiac sounds, which alerted the doctor to an issue.
When would you anticipate to hear the abnormal sound Dr. Baker heard in reference to normal cardiac sounds?
Explain your response.
3. Caleb’s heart abnormality permits blood to circulate between the two ventricular chambers.
Would you expect blood to travel from left to right ventricle or right to left ventricle during systole as a result of this defect?
Explain your response.
4. What is the effect of Caleb’s ventricular septal defect (VSD) on his systemic cardiac output?
Explain your response.
5. Which component of the conduction system would be at risk for irregularities based on the location of Caleb’s defect?
Explain your response.
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