Child Health 8 - Sam

The Case

Follow-up

Sam is seen in the Paediatric Cardiology Clinic at the age of 8 weeks. He continues to breast feed but his mother reports that he tends to become sweaty and breathless when feeding and so he does not feed for very long. His weight is now on the 25th centile (5kg). He has not had any episodes of going blue.

Multiple Choice Question

What clinical signs would you expect to find (select all that apply)?