new_n_lost
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A 10-week-old apparently healthy infant is laid down for a nap. The mother sits in a rocking chair nearby reading. At one point, she hears the baby make a single small cry, but she keeps reading because the baby quiets quickly. Later, she gets up to check on the child, whom she finds dead.
Careful autopsy would be most likely to reveal which of the following cardiac findings?
A. Endocarditis
B. Failure of development of the endocardial cushion
C. Large interventricular septal defect
D. Mitral valve stenosis
E. Right ventricular hypertrophy
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| mytime
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????/B
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| Addicudo
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D ?? whats the answer to this
?
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| doc179
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E
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| mytime
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NNL been dying to say this...........THIS one is like a NO BRAIN HERE for me! Yet to do CVS. 
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| salmonella
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e
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| new_n_lost
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mytime wrote:NNL been dying to say this...........THIS one is like a NO BRAIN HERE for me! Yet to do CVS.
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
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The correct answer is E.
The baby is probably a victim of sudden infant death syndrome (SIDS). The etiology remains unknown. Rare cases have been witnessed, and some of the SIDS babies give a single small cry, as described in the question stem. Some of these babies were premature at birth and some have upper respiratory infections in the preceding few days before death. Findings at autopsy are subtle and may be absent. The cardiovascular system may show right ventricular hypertrophy, which is possibly secondary to smooth muscle hypertrophy in small pulmonary arteries, and possibly cardiac conduction system abnormalities. Other features include brainstem gliosis (suggesting chronic hypoxia), extramedullary hematopoiesis, and retained periadrenal brown fat.
A baby with endocarditis (choice A) would be very obviously ill.
A serious congenital heart defect, such as failure of development of the endocardial cushion (choice B), large interventricular septal defect (choice C), or a mitral value stenosis (choice D) would have been picked up in the comprehensive physical examination at the child's birth.
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
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Even i Cudnt Fathom this one i knew it was Sudden Child Death Syn but will the little dude will have Right Ventricular Hypertrophy was not in my reasoning
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mytime
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Oh SIDS i knew this was but not the defect.........all the material i read on SIDS when Surya was little.......... came to no help it seems.See NO BRAIN HERE!
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