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How my half day work ✂️ on a Saturday is progressing…😄

1. Young lady with 🫀 disease referred by ENT doc with epistaxis 👃 ImageImageImage
Pounding heart 💓 with loud P2 & PSM at the lower left sternal area

I got the mother and she said since 6 months she is blue 🔵

Centralcyanosis➕Clubbing➕VSD➕PulmHTN
There was Hx of recurrent LRTIs in childhood. Image
I sent her 🏠 to get old records 🔖 and our suspicion of cyanotic CHD with incd 🫁 blood flow due to TOGV was right 🫵🏽 Image
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