07 Review 06.12.05

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 – 06/12/2005

 

SEEN BY PHY.ASST.:    MS FARIDA FARZANAA.J

 

DIAGNOSIS:  S/P ASD CLOSURE + PDA LIGATION (29.04.2005). NO RESIDUAL ASD AND PDA.

MVP WITH MODERATE MR× MODERATE TR× PARADOXICAL SEPTAL MOTION. LV DYSFUNCTION.

 

CURRENT MEDICATIONS :

TAB. DIGOXIN ½ OD X 5/7 DAYS.

TAB CARVEDILOL 3.125 MG BD.

TAB. LASIX 10 MG BD.

TAB. ENVAS 2.5 MG  ½ BD.

TAB METINEX 0.5 MG ON ALTERNATIVE DAYS.

CAP BIODOX 250 MG BD.

TAB MEDONOL 300 MG ½ QID

 

 

HISTORY:

H/O RTI X 2 WEEKS.

DECREASED APPETITE.

HAS COUGH.

HAS EXCESSIVE  FATIGUE.

 

EXAMINATION:

HEIGHT 106 cms.

WEIGHT 13 kgs.

SATURATION 100%.

HR 98/MINUTE,REGULAR.

PERIPHERAL PULSES FELT.

BP 106 / 60 mm Hg.

CVS – S1, S2+.

NO HEPATOMEGALY. NO PEDAL EDEMA.

NO ASCITES

RS-OCCASIONAL CREPTS++

 

 

ID: 0803051132	Name      :  Baby KAVYASHREE
Age : 3 Yrs	Sex          :  Female

 

 

CONSULTANT COMMENTS:

 

S/P ASD CLOSURE AND PDA LIGATION WITH DILATED LV AND MR WITH NORMAL LV FUNCTION AND ESTIMATED RV PRESSURE OF 30 mm Hg.

 

ADVICE:

TAB. METINEX 0.5 ONCE IN 3 DAYS.

TO CONTINUE CARVEDILOL, DIGOXIN, ENVAS AND FRUSEMIDE AT SAME DOSE.

FOR TRIAL OF REDUCTION OF DIRETICS DOSAGE ( TAB. LASIX 10 MG ONCE DAILY ) AFTER  THE CURRENT VIRAL RTI.

 

NEXT FOLLOW-UP: 3  MONTHS

 

 

 

DR.PREM SEKAR., MRCP[PAED].,

CONSULTANT PAEDIATRIC CARDIOLOGIST

 

 

ID: 0803051132	Name      :  Baby KAVYASHREE
Age : 3 Yrs	Sex          :  Female

 

 

PAEDIATRIC ECHO – 06.12.2005

 

TAPE NO: 81

 

TAPE LOG: 1077- 1228

 

ECHO DONE BY: DR PREM SEKAR. MRCP (PAED)

 

M MODE & 2D PARAEMETERS:

LVID (D)	50
LVID (S )	35
IVS	4.9 / 7.4
LVPW	4.9 / 8.9
LVFS	29%

REPORT:

S/P ASD CLOSURE + PDA LIGATION.

NO RESIDUAL ASD.

THERE ARE TWO TR JETS  ONE CENTRAL JET AND ONE  JET FROM SEPTAL LEAFLET OF TV.

MAXIMUM TR GRADIENT IS 25 mm Hg.

TV  ANNULUS 24 mm.

MV ANNULUS 30 mm.

MILD AML PROLAPSE WITH MILD MR.

INTACT IVS.

DILATED LV WITH IMPROVED FUNCTION.

NO LVOT / RVOT OBSTRUCTION.

GOOD SIZED BRANCH Pas.

NO RESIDUAL PDA.

NO COA.

LEFT AORTIC ARCH.

GOOD BI-VENTRICULAR FUNCTION.

 

SUMMARY:

S/P CLOSURE + PDA LIGATION.

NO RESIDUAL ASD / PDA.

AML PROLAPSE WITH MILD MR.

MILD TR (2 JETS).

DILATED LV WITH IMPROVED FUNCTION.

 

 

 

 

DR. R. PREM SEKAR., MRCP[PAED].,