Pediatric Emergency MCQ No 23

Question 23

The following are common signs of heart failure in infancy
A. Intercostal retraction.
B. Basal crepitations.
C. Tachycardia.
D. Raised JVP.
E. Enlarged liver.

Answer & Comments:
•ACE
•Comments:
–Intercostals induction and tachypnoea (60-100 respiration/ minute), tachycardia >120-140 bpm, are common.
–Hepatomegaly is a reliable indicator of effectiveness of therapy and is common.
–Frank pulmonary oedema is uncommon and raised JVP, though useful in older children is not a reliable clinical sign in infants.