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

Emily!!! Where are you!!!!

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</span><span style=" font-family: 'Goudy Old Style', 'Arial'; font-size: 28pt; font-weight: normal; font-style: normal; text-decoration: none; ">_{2 sat mid 80s, increases to 97% on 1/4 L/ O}</span><span style=" font-family: 'Goudy Old Style', 'Arial'; font-size: 28pt; font-weight: normal; font-style: normal; text-decoration: none;">_{2 Small for age male, nondysmorphic, mild cyanosis, moderate increased work of breathing Left chest prominent Prominent PMI, RRR, S}</span><span style=" font-family: 'Goudy Old Style', 'Arial'; font-size: 28pt; font-weight: normal; font-style: normal; text-decoration: none; "><sub>2 obscured by murmur,