Recognising Cardiac Disease in Children final

نویسنده

  • Elizabeth Storey
چکیده

A 3 month old baby presents with poor feeding and failure to thrive. She was born at term after a normal pregnancy. Mum describes that the baby always breathes very fast, that she takes a long time to feed and gets very sweaty. On examination the baby is pink, malnourished and breathless. She has a respiratory rate of 50 and has marked intercostal and sub-costal recession. She has a loud pan-systolic murmur and her liver is palpable at 2cm. A CXR shows increased pulmonary vascular markings and a large heart (>60% of the thoracic diameter).

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تاریخ انتشار 2008