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Explain the Clinical Features of PS and VSD ?
Symptoms : A heart murmur is audible at birth. Cyanosis is present from early infancy, usually .from neonatal period. Normal birth weight and normal weight gain in easily infancy. H/o Hyper cyanotic spells present. H/o dyspnea on exertion present. H/o squatting present in older children.
Signs : Cyanosis, clubbing, polyeythemia and normal heart size on palpation. Mild parasternal impulse usually without systolic thrill. Single second sound.(widely split and inaudible pulmonary component). Loud Ejection systolic murmur (grade 3-5/6), heart best at middle and upper left parasternal border. Diastolic period is very clear, no S3, S4 or diastolic murmur.
Ventricular arrhythmias are usually produced by excess catecholamines and vagal withdrawal and occasionally re-entry and triggered activity also plays a role. PVCs are more common
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Mention the product and its use formed by each the microbes listed below: i) Lactobacillus ii) Streptococcus iii) Saccharomyces cerevisiae
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