HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Is The Prognosis In A 21 Month Old With 4q33 Deletion?

what is the prognosis of a 21 month male with 4q33 deletion. he has bilateral hydronephrosis,grade 4-5 bil, vsd,asd and questionable biliary atresia. we are having trouble getting him seen. His pediatrician says hes doing fine but he hasn t seen a cardiologist since birth. he is crawling and getting ready to walk but even crawlin 20-30 feet requires him to lay down on the floor and take a break. he intermittently has very irregular arthymias and circumoral cyanosis. I can t get anyone to pay attention. he isn t my child but a sort of honory nephew. I have been with him since birth and have been a nicu nurse for 30 years.I have worked with eveything from ecmo to open heart so i do have a backgroung. ai assume the prognosis is not good but what can we do to make him comfortable?
Wed, 5 Apr 2017
Report Abuse
  Anonymous's Response
's  Response
Child having congenital heart disease since birth. perioral cyanosis and easy fatigability is suggestive of the chronic cardiac failure. And i think at these point nothing can be done. Early cardiac surgical correction may have helped. And in future child may go into cardiac arrest due arrhythmias(suggestive of cardiomegaly most preferably). Only supportive care at time of cyanotic spell and medical care will make life easy for child.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Hydronephrosis


Loading Online Doctors....
What Is The Prognosis In A 21 Month Old With 4q33 Deletion?

Child having congenital heart disease since birth. perioral cyanosis and easy fatigability is suggestive of the chronic cardiac failure. And i think at these point nothing can be done. Early cardiac surgical correction may have helped. And in future child may go into cardiac arrest due arrhythmias(suggestive of cardiomegaly most preferably). Only supportive care at time of cyanotic spell and medical care will make life easy for child.