Congestive heart failure (peds): Difference between revisions

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==Clinical Features==
==Clinical Features==
*Symptoms<ref>Judge et al. Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department. Pediatr Emerg Med Pract. 2016. May;13(5):1-28</ref>
**Difficulty breathing
**Feeding difficulty
***If an infant has to decide between feeding and breathing, it will choose to breathe
**Sweating with feeds
***"Exercise intolerance"
**Failure to thrive
**Fussiness


*Physical Exam
**Tachypnea with labored breathing
**Rales
**Hepatomegaly
**Cyanosis


==Differential Diagnosis==
==Differential Diagnosis==

Revision as of 00:02, 17 May 2020

Background

  • Pediatric congestive heart failure (CHF) affects 12,000-35,000 children in the United States each year[1]
  • The causes and clinical presentation varies differently compared to adults

Clinical Features

  • Symptoms[2]
    • Difficulty breathing
    • Feeding difficulty
      • If an infant has to decide between feeding and breathing, it will choose to breathe
    • Sweating with feeds
      • "Exercise intolerance"
    • Failure to thrive
    • Fussiness
  • Physical Exam
    • Tachypnea with labored breathing
    • Rales
    • Hepatomegaly
    • Cyanosis

Differential Diagnosis

Evaluation

Management

Disposition

See Also

External Links

References

  1. Rossano JW, Kim JJ, Decker JA, et al. Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study. J Card Fail 2012; 18:459
  2. Judge et al. Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department. Pediatr Emerg Med Pract. 2016. May;13(5):1-28