What other physical exam findings do you anticipate finding

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Problem

A 5 month old (9Kg) with unrepaired atrial septal defect and ventricular septal defect presents to cardiology clinic for pre-operative evaluation. He has trisomy 21 and medical/surgical history only significant for monthly cardiology follow-up (he missed his last scheduled appointment 5 weeks ago) and an 'abdominal surgery' when he was a newborn. The patient has no allergies and his medications include Lasix 5mg po BID and Aldactone 5mg po BID. His Physical exam is pertinent for a midline abdominal scar and GT in LUQ. His Mom states he's a 'happy baby' and is doing fine 'except for the holes in his heart'. Understanding the history and physical exam findings provided and understanding the pathophysiology of his congenital heart defect, what other physical exam findings do you anticipate finding?

Reference no: EM133744442

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