Saturday, May 22, 2010


in TGA (transposition of great arteries), the aorta arises from the right ventricle and pulmonary artery from the left ventricle (normally it's the other way round). consequently there are separate systemic n pulmonary circulation- no communication btwn the two.

that's what one of our little patients suffered from. hence the patient had been cyanotic, n hypoxic. hypoxic state leads to increase production of red blood cell by the bone marrow, thus leads polycythemia(increase in the number of red cells in the blood above the normal value) by which this condition predispose the 3yr olds kid to thrombosis. occasionally he developed convulsion.

to avoid the polycythemia state, his blood was drawn out for about 100cc, which is not a small amount to be drawn from the small vein at once, when u do it drop by drop. so u can expect how the kid whining n nagging aroud, with both hands were punctured n became swollen,n at the same, he's also under oxygen n saline infusion . he's positive for clubbing, explaining the long-standing condition. sometimes he resisted all the intervention, trying to wake up, up to the extent that he became tired of nagging n pushing things away hence fallen asleep.

whose heart can stand looking at the sufferings the lil kid had to bear?i cant help the tears to dwell over but trying to resist it. coudnt stand to see how the kid suffered, hence coming up with the decision- paeds is so not gonna be my major of interest in future. otherwise i'll end up crying before the lil kids seeing them had too much to suffer.

1 comment:

Abu Ubaidah said...

salam kak pipah.
kes ape sbnrny ni?