FORMER MATHS TEACHER AT DAV-BHEL SCHOOL, RANIPET(1999-2022)

Sunday, March 22, 2009

06 Review 13.9.5

             

ID: 0803051132

 Name      :  Baby KAVYASHREE

Age : 3 Yrs

 Sex          :  Female

                           

DEPARTMENT OF CARDIOLOGY

 

 PERMANENT ADDRESS

 D/O·MR·PRAGASAM,

A 866 BHEL TOWNSHIP,

  BHEL CAMPUS, RANIPET

 VELLORE DT·

  TamilNadu

   632  406

 INDIA

PAEDIATRIC FOLLOW-UP CASE RECORD – 13.09.2005

SEEN BY PHY.ASST.:    MS FARIDA FARZANA

DIAGNOSIS:

 S/P PERICARDIAL PATCH CLOSURE OF ASD WITH CENTRAL FENESTRATION + PDA LIGATION + PLICATION OF ANTERIOR – POSTERIOR TRICUSPID VALVE COMMISSURE× NON COMPACTION OF VENTRICLE × BIVENTRICULAR DYSFUNCTION×

CURRENT MEDICATIONS :

T× DIGOXIN ½ OD X 5/7 DAYS.

T× CARVEDILOL 3.125 MG BD.

T× ALDACTONE 6×25 MG BD×

T× LASIX 10 MG BD×

T× METINEX 0.5 MG ON ALTERNATIVE DAYS

T× ENVAS 2.5 MG  ½ BD.

 

HISTORY:  ASYMPTOMATIC STATUS

EXAMINATION:

HEIGHT 101CM,WEIGHT 13Kgs,SATURATION 100%.

HR 96 bpm,REGULAR×

PERIPHERAL PULSES: FELT×

BP 86 / 50 MM HG×

CVS : S1: NORMAL P2 LOUD×

RS : CLEAR×

CXR : CTR 70%, PULMANORY HILAR CONGESTION×

  

ID: 0803051132

 Name      :  Baby KAVYASHREE

Age : 3 Yrs

 Sex          :  Female

CONSULTANT COMMENTS:

ASYMPTOMATIC CLINICAL STATUS ON MAXIMUM ANTI FAILURE MEDICATION×

 DILATED LV WITH MODERATE DYSFUNCTION AND MR WITH MILD AMVL PROLAPSE  AND PARADOXICAL SEPTAL MOTION×

ADVICE:

TO CONTINUE SAME MEDICATION  EXCEPT ALDACTONE

FLUID RESTRICTION UPTO MAXIMUM 1 LITRE / DAY×

REVIEW AFTER 3 MONTHS×

 

DR×PREM SEKAR×, MRCP[PAED]×,

CONSULTANT PAEDIATRIC CARDIOLOGIST

NEXT VISIT BY APPOINTMENT ONLY EXCEPT FOR EMERGENCIES×

 

 

 

                                

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID: 0803051132

 Name      :  Baby KAVYASHREE

Age : 3 Yrs

 Sex          :  Female

 

 

PAEDIATRIC ECHO –  13.09.2005

 

TAPE NO: 66

 

TAPE LOG: 2375->2496

 

ECHO DONE BY: DR × PREM SEKAR

 

 

M MODE & 2D PARAEMETERS:

 

Parameters

Patient value

LVID(D)

46

 

REPORTS:

S/P PERICARDIAL  CLOSURE OF ASD + PDA LIGATION×

NO RESIDUAL ASD×

MITRAL VALVE PROLAPSE (AML)  WITH MODERATE MR×

MODERATE TR WITH GDT OF 35 MM HG×

INTACT IVS×

DILATED CHAMBERS×

PARADOXICAL SEPTAL MOTION× LV DIMENSION : 46 MM×

LV DYSFUNCTION×

NO LVOT / RVOT OBSTRUCTION×

GOOD SIZED CONFLUENT PA ANATOMY×

NO RESIDUAL PDA×

 

 

SUMMARY:

S/P ASD CLOSURE + PDA LIGATION.

NO RESIDUAL ASD / PDA.

MVP WITH MODERATE MR×

MODERATE TR×

PARADOXICAL SEPTAL MOTION×

LV DYSFUNCTION×

 

 

 

 

DR. R. PREM SEKAR×, MRCP(PAED)×,