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Kaplan Qbank USMLE



Author4 Posts
  #1

Pt with machine like murmur. Diagnosed with PDA. What is the direction of blood at the site of abnormality? I mean, from where to where!

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La vita e bella!

  #2

from aorta to pulmonary artery

  #3

and then after pulmonary hypertension is built up, change to the oposite direction: from pulmonary A to aorta -->cyanosis?

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I leave no trace of wings in the air, but I am glad I have had my flight

  #4

Actually that's the answer: Aorta -->Pulmonary A.

However, I read somewhere that in PDA, there are 3 phases we have to remember:

In fetal life :arrow: Right --> Left shunting (pulm A-->aorta)
In neonatal life :arrow: Left-->Right shunting (aorta-->pulm A). No cyanosis.
Later in life :arrow: Eisenmenger's: Right-->Left shunting (pulm A-->Aorta)-->late cyanosis

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