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Stuart Crisp

and Jo Rainbow

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date: 13 April 2021

Assessment 174

Cyanosis 175

Chest pain 176

Arrhythmias 178

Heart failure 180

Fallot Spell or ‘Tet’ spell 181

Murmur 182

Hypertension 185

Rheumatic fever 186

Infective endocarditis 187

Kawasaki's disease 189

Myocarditis 190

Pericarditis 191

ECG guide 192

Further reading 194

Many congenital heart anomalies are identified antenatally. However, the clinician should be aware of cardiac conditions presenting via the emergency department e.g. the collapsed neonate whose duct has just closed, the evolving cyanosis of Fallot's tetralogy, or the discovery of a murmur not previously heard....

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