Child presented with cough and fast breathing

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Reference no: EM133796067

Question

A 2-year-old child presented with cough and fast breathing of 2 days' duration. On physical examination, the respiratory rate is 40 breaths per minute, pulse rate is 120 beats per minute, temperature is 38°C, and crepitations are heard in the right lower lung field posteriorly. There is a grade 3 pansystolic murmur best heard at the left sternal border. What is the most likely diagnosis?

a. Severe pneumonia b. Valvular heart disease secondary to rheumatic heart disease c. Pneumonia + VSD (Ventricular Septal Defect) d. Pneumonia + PDA (Patent Ductus Arteriosus).

Reference no: EM133796067

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