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
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:
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
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×
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×
DR. R. PREM SEKAR×, MRCP(PAED)×,