All right, welcome. My name is Devine. This is episode 519 of the Devine Intervention

Podcast. In this podcast I'm going to be continuing the series on the Step 2C3120.

This is going to be part 2. So we did questions 1 to 5 in the first one. Let's go straight to question 6 and just

pound through as many as we can. This won't be a lot shorter than the previous one because I've kind of

of getting some thoughts out of the way. Okay so question number six it says

four-month old female infant is recovering in the hospital five days after uncomplicated surgical repair of a ventricle

septo defect via medium sternotomy utilizing cardiopulmonary bypass. She was extubated on post-op day one and by post-op day four

she was no longer receiving any inotropic infusions on intravenous drugs.

She is breastfeeding well. Plans are made for

discharge from the hospital the next morning. However, on the next morning she

develops a temperature of 38.8 degrees Celsius, that's 101.8

Fahrenheit, cool and clammy skin, cold distal extremities, delayed

capillary refill, and minimal urine output.

Cardiac rhythm strip and tracing of arterial blood pressure are shown.

Which would have known is the most appropriate next step in evaluation.

Option A says cardiacathorization.

Option B says C-Tian geography.

Option C says echocardiography.

Option D says electrophysiology study and option e says MRI of the heart. So here's

something I'm going to see here. So the EKG, if you look at the rhythm strip, this person is pretty

tachycardic, I mean their heart rate is pretty high, but it's a narrow complex tachyrhythmia.

It looks a lot like an

...