Transcript Slide 1 - AccessPediatrics

(A) Squatting position assumed by patient while “feeling tired”. This previously healthy 10-year old presented with recurrent syncope and weakness,
increasing tiredness, and shortness of breath of 2 weeks -duration. He had hypotension with blood pressure of 87/63 mm Hg (Remember: The median
systolic BP for children older than 1 year is 90 + [2 × age in years], and the lower limit is 70 + [2 × age in years]), heart rate of 90 bpm and a normal
cardiac examination. Hepatomegaly, right atrial enlargement on ECG and mild cardiomegaly on chest radiograph were also noted. (B) Right atrial mass
(arrow) obstructing right ventricular inflow tract on echocardiography. This 6.5 × 5.5 × 4 cm mass was resected and was found to be precursor B
lymphoblastic lymphoma/leukemia (intracardiac lymphoblastic lymphoma). (Photo contributors: Barry Hahn, MD and Sudha Rao, MD.)
Source: Chapter 5. Cardiology, Atlas of Pediatric Emergency Medicine, 2e
Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: http://mhmedical.com/
Accessed: April 08, 2017
Copyright © 2017 McGraw-Hill Education. All rights reserved