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1. S3:
Answer Normal in young athletes
2. Decreased Pulmonary Blood Flow:
Answer
Cyanosis
Squatting
Loss of Consciousness
Dizziness
Syncope
3. Increased pulmonary blood flow:
Answer
Tachypnea with activity/feeding
Diaphoresis
Poor weight gain
Exercise intolerance
Dyspnea on exertion
4. CHD Evaluation:
Answer
Increased RR and /or effort at rest or with activity
Poor feeding; fatigues during feeding
Excessive sweating in infant, unrelated to the environment, especially while feeding
Recurrent respiratory infections
Decreased exercise tolerance
Squatting with fatigue (rare)
Chest pain (uncommon, usually non cardiac origin)- most common with severe aorticstenosis
Syncope (uncommon)
Child with cyanotic heart defect squats (knee-chest position) to relieve cyanosisspells
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