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What Does This Ultrasound Report Indicate?

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Posted on Thu, 16 Jun 2016
Question: My new born dughter is 45 day and after a ultrasound eco test conclusion is Restrictive preimembranous vsd 3.5 mm shunting left to right with peak systolic 58mm
doctor
Answered by Dr. Sumanth Amperayani (31 minutes later)
Brief Answer:
I understand your concern but I would like to know what is your query

Detailed Answer:
Hi.... I understand your concern. By what the report says your kid is having a hole in the lower two chambers of the heart...but it is a very small defect as of now and needs further follow up with a paediatric cardiologist.

I have a few questions for you. Please get back to me with answer so that I can guide you for the regarding this...

Questions -

1. Does she have any sweating over the forehead while feeding?

2. Does she become Breathless Or have fast breathing very often?

3. What is the current weight and what was her birth weight?

4. How many times does she pass urine per day?

5. How is her feeding pattern?

6. Is there any difficulty in feeding her?

7. Does she have any swelling of feet or tummy?

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (14 minutes later)
1- yes during feeding sweating
2-fast breating
3-birth weight is 3,500kg
4- 2-3 per day
5- during feeding sweating And fast breath
6- no
7-no
doctor
Answered by Dr. Sumanth Amperayani (9 minutes later)
Brief Answer:
Please tell about fast breathing and her current weight

Detailed Answer:
Hi.... you have not answered my 2nd and 3rd questions.

My 2nd question was if your daughter becomes breathless or has fast breathing very often.

My third question was - what was her birth weight and also her current weight. You have mentioned the birth weight as 3.5 kilos but you have not mentioned what is the current weight.

Please get back to me with answers so that I can guide you through.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (7 minutes later)
1- she has fast breating
2- current wight is 40-45 but not sure
doctor
Answered by Dr. Sumanth Amperayani (10 minutes later)
Brief Answer:
Her growth is appropriate - no emergency but she needs to be under followup

Detailed Answer:
Hi.... buy her current rate I can assure you that she is growing well.

But she also has got fast breathing which is a sign that she needs to be under regular follow up. I suggest that you be under regular follow up with your pediatrician at least 15 days once and she needs a paediatric cardiac echocardiogram at least 3 months once initially and later on 6 month or yearly once.

These are the danger signs when you need to rush her to the nearest Emergency Room -

1. Swelling of feet.
2. Abdominal distention.
3. Very fast breathing up to the level of becoming Breathless.
4. Inability to feed.
5. High grade fever.
6. Not passing urine at least 6 hourly once, that means she needs to pass urine at least 4 times in 24 hour period.

If any of these symptoms develop please take her to the nearest Emergency Room.

Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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What Does This Ultrasound Report Indicate?

Brief Answer: I understand your concern but I would like to know what is your query Detailed Answer: Hi.... I understand your concern. By what the report says your kid is having a hole in the lower two chambers of the heart...but it is a very small defect as of now and needs further follow up with a paediatric cardiologist. I have a few questions for you. Please get back to me with answer so that I can guide you for the regarding this... Questions - 1. Does she have any sweating over the forehead while feeding? 2. Does she become Breathless Or have fast breathing very often? 3. What is the current weight and what was her birth weight? 4. How many times does she pass urine per day? 5. How is her feeding pattern? 6. Is there any difficulty in feeding her? 7. Does she have any swelling of feet or tummy? Regards - Dr. Sumanth