History taking in Acyanotic CHD-Part One

Why you ask the questions that you ask in a case of CHD is what has been discussed in the above lecture

[@drliaqatalishah]

Medam you are doing a great job

[@rajum5548]

Mam, you are our tuition teacher..
Most of the times, you are making our subject more clear with good logical explanation..
Kindly do support us with your extraordinary academic interest..
🙏🙏🙏

[@yadavgbs8240]

Excellent madam TQ madam 🙏🙏

[@sandhyavaradarajan7296]

Very nice

[@pediatube9353]

Thumbs up man, pls post 2 nd part😊

[@pravindharge3850]

Nice👍

[@israelmary8915]

Yes mam. Make class on congenital heart disease very difficult to understand that topic

[@balamurali45]

Best

[@physicsi5974]

I wish I had brain like yours 🙏🏻🙏🏻🙏🏻

[@Meand_disney]

Madam please take classes on recent advances in pediatrics

[@shubhavaidya1396]

😊

[@joyal1000]

Ma’am Plz make a video on upcoming DNB Theory exam on 24th aug reg question to expect topic wise

[@jinuannasabu1242]

Second heart pls

[@sandhyavaradarajan7296]

Isolated such rest sick cycle without other features?

[@rajum5548]

Suck rest suck cycle..

[@jananism2783]

Mam part 2??

[@rajum5548]

Regarding paroxysmal nocturnal dyspnoea..
Early predictor of CCF..
In lying posture,
Increased preload due to venous return from lower limbs
Increased inflow in left ventricle which couldn't completely pump out due to early stages of failure..
Where end diastolic volume will increase and pressure too increase..
It reflects in left atrium to pulmonary capillary..
Pulmonary congestion .
This sequence takes 3-4 hours to happen..
Usually around 2 am..
Patient will wake up..
Once the position changed from lying to sitting, patient would felt comfortable..
In later stage, this sequence happens whenever patient resumes lying posture due to failure advances ..called orthopneoa..

[@rajum5548]

If wrong, kindly correct me mam..

[@rajum5548]

Child may cry at 2 am and sleep once we put on our shoulder..