RT Book, Section
A1 Thaver, Danyal
A1 Qureshi, Athar M.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114870915
T1 Clubbing and Cyanosis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114870915
RD 2024/04/24
AB A  9-year-old  boy  from  rural  Asia  was  brought  to  the  clinic  by  his  parents  for  complaints  of  being  tired  and  “blue.”  Further  history  reveals  that  he  has  had  frequent  episodes  of  squatting  after  exertion  which  relieves  some  of  the  symptoms  temporarily.  On  exam,  he  has  clubbing  of  the  fingers  and  toes  with  cyanosis  of  the  lips  and  oral  mucous  membranes  (Figure  41-1).  A  harsh  systolic  ejection  murmur  is  best  heard  at  the  left  mid  and  upper  sternal  border.  An  echocardiogram  confirms  the  diagnosis  of  tetralogy  of  Fallot.