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Cardiac disorders

1.Vsd,ductus arteriosus- several weeks- pulmonary resistance falls later


2.Innocent murmur-4s
3.Febrile illness,anemia-innocent murmur
4.Heart failure-1st weeks life-left heart obstruction-co arctation aorta-right to left shunt-duct dependent
circulation-if duct close-acidosis,collapse,death
st
5.1 week life- pulmonary vascular resistance fall-left to right shunt-increased pulmonary flow-pul
odema,breathlessness
6.After 3 month-resistance increased-eisengmenger sn- irreversible-now right to left shunt-blue-tx heart
lung transplant,medical to palliate
7.Peripheral cyanosis-blue hand feet- cold,unwell,poycythemia
8.Central cyanosis- tongue blue-fall po2 – if anemic cyanosis less
9.Persistant cyanosis in well infant -structural heart disease
10. Cyanosis with respi distress-several causes
11.

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