Ventral Septal
Defect
SKINNY
Reasoning Case
Study
,History of Present Problem
➢Mandy Gray is a two-month-old infant born with a large
ventricular septal defect (VSD) that was diagnosed by
her pediatrician during her two-week infant check-up.
➢The parents called her pediatric cardiology clinic
because Mandy was breathing faster and showed
signs of increased work of breathing. Her mother
states that she is having difficulty nursing because
she tires easily and then becomes fussy and cries
because she is hungry.
➢Her height and weight are below the 25th percentile
(wt: 4.5 kg. ht: 54 cm). Her Mom reports that Mandy’s
weight has increased by 8 ounces (240 g) in the last
24 hours.
➢Her pediatric cardiologist is concerned about
worsening heart failure and Mancy will be admitted
with a diagnosis of acute heart failure.
,
Defect
SKINNY
Reasoning Case
Study
,History of Present Problem
➢Mandy Gray is a two-month-old infant born with a large
ventricular septal defect (VSD) that was diagnosed by
her pediatrician during her two-week infant check-up.
➢The parents called her pediatric cardiology clinic
because Mandy was breathing faster and showed
signs of increased work of breathing. Her mother
states that she is having difficulty nursing because
she tires easily and then becomes fussy and cries
because she is hungry.
➢Her height and weight are below the 25th percentile
(wt: 4.5 kg. ht: 54 cm). Her Mom reports that Mandy’s
weight has increased by 8 ounces (240 g) in the last
24 hours.
➢Her pediatric cardiologist is concerned about
worsening heart failure and Mancy will be admitted
with a diagnosis of acute heart failure.
,
