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CHF - HI!ImEmilyand heretotellyouto payattention.this isa...

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HI! I’m Emily and  here to tell you to  pay attention...this  is a  really great  talk!!!!!!!!!! Have you seen my  brother?…he’s  sooooa annoying
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Congestive Heart Failure in  Children Thomas R. Burklow, MD LTC, MC Asst C., Pediatric Cardiology
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Odenwald mountains 
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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
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Physical Examination VS: HR 165, RR 60, Nl BPs throughout; RA O 2 sat mid 80’s, 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
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