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Diagnosis of diseases of cardiovascular system at children

DISEASES OF CORDIAL AND VASCULAR SYSTEM

Disease

Symptom complex

100 Taussig-Bing's anomaly

Generalized cyanosis
Asthma
Lag in physical development
Rough systolic noise in the IV mezhreberye at the right edge of a breast
Accent of the II tone over a pulmonary artery

101 Ebstein's anomaly

The progressing cyanosis
Shift of a knaruzha of the right border of heart
Existence of noise in the fifth mezhreberye at the left at edge of a breast
Cantering rhythm
Attacks of a Bouveret's disease
Radiological — spherical heart

102 Atresia of the three-leaved valve

Cyanosis since the birth
Odyshechno-tsianotichesky attacks
Lag in physical development
Nails in the form of "hour glasses" or "drum sticks"
Systolic noise in the fourth mezhreberye at the left
ECG — a deviation of an electrical axis of heart to the left

103 Eyzenmenger's illness

Arising in 2 — 3-year age the cyanosis amplifying a current of time
Cardiomegaly in the diameter
Systolic noise on the basis of heart
Emphasis of the II tone on a pulmonary artery
Radiological — expansion of a cone of a pulmonary artery, strengthening of pulmonary drawing

104 Vegeto-vascular dystonia, kardialgichesky form

The pains in heart of various intensity irradiating in the left hand and epigastriß area which are followed by feeling of constraint in a breast
Cephalalgias
Dizzinesses
Irritability
Indicators of arterial pressure within physiological fluctuations

105 Vegeto-vascular dystonia on hypertensive type

Cephalalgias in temporal or parietal area
Emotional lability
Dizzinesses
Heart consciousness
Cardialgias
Lability of pulse
Systolic noise at a top and in the 5th point, listened in horizontal position
Increase of arterial pressure
Sympathoadrenal crises are possible

106 Vegeto-vascular dystonia on hypotensive type

Cephalalgias of diffusion character
Psychasthenia phenomena
Dizzinesses
Faints
Feeling sick, decrease in working capacity in the mornings
The cardialgias of the pricking character arising in connection with nervousness
Bradycardia
Myocardial dystrophy
Lowering of arterial pressure
Vagoinsulyarny crises are possible

107 Inborn cyst of a pericardium

Cardialgias
Tachycardia attacks
Frenikus-simptom
Cardiomegaly, more often to the right
Cardiac sounds are not changed

108 Hypoplasia of iliofemoral arteries

Lag in growth of an extremity
Trophic changes on skin
Easing or lack of pulse on the main arterial trunk
Decrease in temperature of skin
Angiographically — considerable narrowing of the main arterial trunk, and at its aplasia — existence of collaterals

109 Double aortic arch

Difficulty of swallowing
Asthma of various degree
Lag in the weight and physical development
Cyanosis attacks
On a contrast ezofagogramma — impression of a contour of a gullet

110 Dekstrakardiya
inborn

Cordial dullness and apical beat are noted on the right side
Form and sizes of heart normal
hearts to the right of a breast are young are heard stronger
The electrocardiogram — a specular reflection normal
Radiological — a right-hand arrangement of heart

111 Defect of an interventricular partition

Systolic trembling in 3 — 4 mezhreberye at the left at a breast
Systolic noise in 3 — 4 mezhreberye at the left at a breast
Accent and splitting of the II tone over a pulmonary artery
Radiological — signs of increase of pulmonary pressure and overflow of a small circle of blood circulation

112 Defect of an interventricular partition (Tolochinov-Roget's illness)

Systolic noise in 4 — 5 mezhreberye at the left edge of a breast
Heart is not increased
Pulmonary hypertensia is absent
The electrocardiogram is not changed

113 Defect of an interatrial partition

Expansion of relative cordial dullness
Systolic noise in 2 — 3 mezhreberye at the left at a breast
Splitting of the 11th tone over a pulmonary artery
The increased I tone in the field of the three-leaved valve
On an ECG — a deviation of an electrical axis of heart to the right, signs of an overload of the right signals of heart, incomplete blockade of the right leg of a ventriculonector

114 Pericardium diverticulum

The sharp postural change of a body, exercise stress, inclination towards a diverticulum cause:
Cardialgia
Asthma
Cough
Feeling of shortage of air
Radiological — a roundish shadow with equal contours
Roentgenoscopic — the contour of a diverticulum repeats the pulsatorny movements of heart

115 The isolated stenosis of a pulmonary artery

The asthma increasing at loading
Moderate cyanosis
Cardiomegaly in the diameter
Rough systolic noise in the second mezhreberye at the left
Radiological — depletion of a small circle of blood circulation

116 Infectious endocarditis

All-toxic syndrome
Cardialgias
Fever with considerable razmakha of temperature within a day
Pallor of skin with a subikterichny shade
Hemorrhagic syndrome
Lukin-Liebman's symptom
Endomyocarditis symptoms

117 The cardiomyopathy is hypertrophic

Increased fatigue
Asthma at an exercise stress
Tachycardia
Cardiomegaly
Systolic noise on a top and along the left edge of a breast
Echocardiographic — an asymmetric hypertrophy of an interventricular partition, the movement of a front shutter of the left atrioventricular valve forward at the time of a systole and a premature smykaniye of shutters of the aortal valve

118 The cardiomyopathy is dilyatatsionny

Increased fatigue
Disturbance of a heart rhythm
Systolic noise at a top
The accruing left ventricular failure phenomena
Echocardiographic — the expressed dilatation of a cavity of a left ventricle with thinning of its free wall and decrease in amplitude of the movement of an interventricular partition, increase in the left auricle and shift of shutters of the mitral valve

119 The cardiopathy is restrictive

Increased fatigue
Decrease in functional capacity of a myocardium
Easy extent of increase in heart in the diameter
The expressed retraction of a right ventricle
Ekhokardioskopicheski — reduction of a cavity of the struck ventricle up to its obliteration

120 Aorta coarctation

Disproportion between development of an upper and lower half of a trunk
Systolic trembling in the second mezhreberye on the right paravertebralno
Systolic noise in the second mezhreberye on the right
Increase of arterial pressure on upper extremities and decrease — on lower
Radiological — the waist of heart is sharply expressed, the top of heart is rounded off, raised over a diaphragm, forming with it an acute angle. At children of five flying — uzura is also more senior

121 The combined mitral defect

 

The strengthened apical beat
Increase in cordial dullness to the left and down
The systolodiastolic noise at a heart top which is carried out to the axillary area

Emphasis of the II tone on a pulmonary artery
Deviation of an electrical axis of heart to the left

122 Pulmonary heart

Increase in the right departments of heart
Protrusion of a pulmonary artery
Accent of the II tone over a pulmonary artery
ECG — pulmonary P

123 Myocardial dystrophy

Cardialgias
Shift of relative cordial dullness to the left in horizontal position
Decrease in sonority of tones
Systolic noise at a top and in the 5th point, listened in horizontal position
Change of a tsirkadialny rhythm of amplitude and phase characteristics of bioelectric activity of a myocardium
Disturbance of bioelectric activity of a cardiac muscle: change of teeth P and T, lengthening of an interval of ST, shift it from the isoline more than on 1,5 mm up or on 0,5 mm from top to bottom
Decrease in tolerance of a myocardium to an exercise stress

124 Myocarditis

Increased fatigue
Shift of limits of relative cordial dullness of a knaruzha
Tachycardia
Decrease in sonority of cordial tones
The systolic noise at a top accruing after loading

125 Abramov's myocarditis - Filler

The expressed all-toxic syndrome
Cardiomegaly in a poperechinka
Considerable tachycardia
Decrease in sonority of tones
Systolic noise at a top
Total heart failure

126 Insufficiency of aortal valves

Diastolic noise in the II—III mezhreberye to the right of a breast
Capillary pulse
Pulse is characterized by the high wave elevation and its fast falling
Heart border shift to the left and down
Decrease in diastolic arterial pressure to zero
Radiological — increase in a left ventricle

127 Insufficiency of the mitral valve

The diffuse apical beat in 5 — 6 mezhreberye extending to the axillary area
Shift of the left limit of relative cordial dullness of a knaruzha
The systolic blowing noise at a top which is carried out to the left axillary area
Accent of the 11th tone over a pulmonary artery
Radiological — increase in the sizes of heart at the expense of the left departments

128 General arterial trunk

Lag in physical development
Tachypnea
Cyanosis of various degree of manifestation
Cardiomegaly
Cordial hump
Rough systolic noise in 3 — 4 mezhreberye at the left

 

Accent of the II tone over a pulmonary artery

129 General ventricle

Unsharply expressed cyanosis
Lag in physical development
Cardiac impulse diffuse, rising
Cardiomegaly in the diameter
Systolic noise on a top and along the left edge of a breast
Accent of the II tone over a pulmonary artery

130 Open arterial channel

Shortening of a percussion sound in 2 — 3 mezhreberye at the left parasternalno
"Cat's purring" in the place of shortening
Systolodiastolic noise in 2 mezhreberye to the left of a breast
Accent II that and on a pulmonary artery
High pulse pressure due to decrease in diastolic pressure. The last under the influence of loading can become zero
Radiological — protrusion of a cone of a pulmonary artery, strengthening of pulmonary drawing

131 Pancarditis

Cardialgias
Pericardial rub
Sharp priglushennost of cardiac sounds
Cardiomegaly in the diameter
Respiratory insufficiency
Developments of stagnation in big and small circles of blood circulation
Decrease in a voltage of an ECG

132 Parietal fibroplastic endocarditis of Lyoffler

All-toxic syndrome
Tachycardia
Cardiomegaly
The progressing heart failure
Eosinophilia

133 Malformations of absorbent vessels

The hypostasis of fabrics which is observed since the period of a neonatality and gradually accruing
In process of increase of hypostasis emergence of feeling of weight in the struck body, fast fatigue
Transition of a soft stage of hypostasis to firm
Emergence of pigmentation and hyperkeratosis, decrease in local temperature
Increase in volume of an extremity (elephantiasis), emergence of a contracture of joints and the increased fragility of bones

134 Prolapse of the mitral valve (auskultativny form)

Cardialgias are possible
Often asthenic constitution
Late systolic click
Systolic noise at a top
Disturbance of processes of repolarization of a myocardium
Echocardiographic — progibany shutters of the mitral valve more than on 2 millimeters
Hidden decrease in functional capacity of a myocardium

135 Pulmovalny sclerosis of Ayerz

Slowly progressing cyanosis
Emphasis of the 11th tone on a pulmonary artery
Radiological — protrusion of a cone of a pulmonary artery, overflow of a small circle of blood circulation, existence of limy spots in lungs

136 Rheumatism

1. Big criteria:
Carditis
Polyarthritis
Chorea
Ring-shaped erythema
Hypodermic rheumatic small knots
11. Small criteria:
Rheumatism in the anamnesis
Arthralgias
The raised SOE
Leukocytosis
S-reactive protein +
Lengthening of an interval of PQ III. This, confirmatory
streptococcal infection:
The raised caption of antistreptococcal antibodies, antistreptolysin — 0, etc.
Seeding from a pharynx of streptococci of group A
Recently postponed scarlet fever

Existence of two big criteria or one big and two small criteria confirm high probability of acute rheumatism in the presence of the confirmed data on the postponed infection caused by a streptococcus of group A

137 Syndrome of a hypoplasia of a left ventricle

The expressed phenomena of respiratory insufficiency
Cyanosis
Shift of borders of heart, especially to the left
Weak, hardly notable pulse in combination with the strengthened cardiac impulse and a visible enigastralny pulsation
Decrease in systolic arterial pressure
Tachycardia

138 Ivemark's syndrome

Accent of the II tone on pulmonary are
teriya
Hepatomegalia
Return arrangement of internals
Blue inborn heart disease
Micro or aspleniya

139 A syndrome of Morganyi - Adams-Stokes

Deterioration in health
Pressure sense in a breast
Dizziness
Loss of consciousness, epileptiform spasms
Bradycardia, low pulse, hypotonia
On an ECG — during an attack an asystolia, then quite often partial or total atrioventricular block

140 Sick sinus syndrome

Weakness attacks
Dizzinesses, blackout
Losses of consciousness
Bradycardia
Arrhythmias
Insignificant acceleration of a cordial rhythm (less than 30% of initial level) under the influence of an exercise stress

141 Sports heart

Increase in heart
Bradycardia
Priglushennost of 1 tone at a top
Splitting of the II tone on the basis
Functional systolic noise
Decrease in the maximal arterial pressure
Increase in a voltage of a tooth of T in chest assignments

142 Aorta stenosis

Systolic trembling in 2 mezhreberye on the right or over the breast handle
Systolic noise in 2 mezhreberye on the right
Pulse of small filling and duration
Shift of limits of cordial dullness to the left and from top to bottom
Decrease in systolic arterial pressure
On an ECG — an overload of a left ventricle

143 Stenosis of the left atrioventricular opening

Tachypnea
Tachycardia
The clapping first tone at a top
Presystolic noise at a top, then diastolic
Bifurcation of the II tone over a top
Emphasis of the II tone on a pulmonary artery
Radiological — symptoms of pulmonary hypertensia

144 Stenosis of the right atrnoventrikulyarny opening

Cyanosis
Swelling of veins of a neck
Respiratory insufficiency
Shift of the right border of heart of a knaruzha
The first tone is increased
Diastolic noise
Radiological — increase in the right auricle and upper vena cava

145 Fallo's tetrad

 

Cyanosis
Nails in the form of "hour glasses", "drum sticks"
Odyshechno-tsianotichesky attacks
Lag in physical development

Rough systolic noise with a maximum in the III—IV mezhreberye at the left
Easing of the II tone over a pulmonary artery
Radiological — a shape of heart in the form of "a wooden shoe", pulmonary drawing is grown poor

146 Transposition of the main vessels

The expressed cyanosis
Asthma
Lag in physical development
Cardiomegaly
Cordial hump
Hepatomegalia
Radiological — heart of an ovoidny configuration

147 Fibromuscular dysplasia of renal arteries

Complaints to a headache, increased fatigue, cardialgias
Permanent increase of arterial pressure, refractory to therapy
Hypertrophy of a left ventricle
Systolic noise in the field of a ventral aorta
On an aortografiya — multifocal concentric narrowings of arteries with sites of aneurysmal expansions in the form of threads of a beads

148 Exudative pericardis

1 Forced sublime situation
2 Respiratory insufficiency
Expansion of relative cordial dullness in the diameter
Pericardial rub on the basis of heart
Dullness of cordial tones
Total heart failure

149 Endomyocardial fibroelastosis

Cardiomegaly
Cordial hump
Decrease in sonority of tones
Attacks of a Bouveret's disease
Development of heart failure
Radiological — spherical shape of heart

According to Ostropolets S. S., V. N. Beet, Diagnostic syndromes of diseases of children's age.

 
"Diagnosis of diseases of a respiratory organs at children   Diagnosis of diseases of connecting fabric at children"