S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 32 No.4 (1991)
A 40-day-old Infant with Cyanosis and Lung Infiltration and Congestive Heart Failure - Case SNUCH CPC-36 -
- Chi, Je G.; Yoon, Yong Soo
- Issue Date
- Seoul J Med, Vol.32 No.4, pp. 263-265
- This 40-day-old boy was transferred to Sowha Children's Hospital for further evaluation of dyspnea and pallor on September 17, 1990. He was an orphan who was brought to the Children's Welfare Fund (CWF) Hopspital at the age of 7days. No other prenatal or perinatal history was available.
He was managed at the CWF Hospital for pneumonia,jaundice and congestive heart failure without improvement.
At the time of admission to Sowha Children's Hospital the patient weighed 2440 gm. Head circumference was 34 cm and chest circumference was 30 cm. Heart rate was 128 per minute, respiratory rate 60 per minute and body temperature 37.2°C. Blood pressure was 65/35 mmHg. He was generalized pale and weak. Slight but definite generalized cyanosis and poor skin turgor were noted. The anterior fontanel was open. The face was symmetric and showed no dysmorphic features. The neck was normal. Although lung expansion was satisfactory there was a prominent intercostal retraction.
Rhonchi and rales were audible over the entire lung fields. Heart rate was regular. A grade 3/6 systolic murmur was heard along the left sternal border.