Patent Ductus Arteriosus

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Patent Ductus Arteriosus (PDA)

• MC in Preterms 

• Term baby with PDA - Think of Rubella

Clinical Features :

1. Failure to thrive 
2. Recurrent infections 
3. Feeding difficulty 
4. CHF at 6-10 wks

Examination :

• Bounding Pulses
• Wide pulse pressure
• Continuous Machinery murmur at Left sternal border

Treatment : (MCQ)

• In Preterms - NSAIDS (only till 1st month after birth)
• In terms - Surgery ( Duct occluder , Insert coils )

Complications :

• CHF at 6-10 wks
• IE
• Eisenmenger syndrome

PDA with eisenmenger syndrome - ( R to L shunt )

• Differential cyanosis i.e only at toes (Not at fingers) (MCQ)

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