CHF - HI! Im Emily and here to tell you to pay...

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Unformatted text preview: HI! Im Emily and here to tell you to pay attention...this is a really great talk!!!!!!!!!! Have you seen my brother?hes sooooa annoying Congestive Heart Failure in Children Thomas R. Burklow, MD LTC, MC Asst C., Pediatric Cardiology Odenwald mountains Case Presentation 4 month old presents to ER with cc: cold sx 5 day history of increasing cough; afebrile, no rhinorrhea, no ill contacts. PMH: unremarkable. vigorous feeder (25-30oz/d) until the last couple of days. FHx: father had a leaky valve but was cleared to join the Marines Physical Examination VS: HR 165, RR 60, Nl BPs throughout; RA O 2 sat mid 80s, increases to 97% on 1/4 L/ O 2 Small for age male, nondysmorphic, mild cyanosis, moderate increased work of breathing Left chest prominent Prominent PMI, RRR, S 2 obscured by murmur, gr III pansystolic SRM over apex to left axilla Liver edge 4 cm below RCM 1+ pulses throughout Electrocardiogram...
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CHF - HI! Im Emily and here to tell you to pay...

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