An 11-years-old male patient presented with complaints of dyspnoea, fever and cough. On physical examination the following things observed. Heart: Apex beat visible on right side of the chest and murmurs on auscultation Atrial septal defect Ventricular septal defect In this case, pulmonary stenosis is absent which is explained common NS.
ECG shows Dextrocardia and RVH. rSR pattern in v1-v6 as it is a common finding in ASD X-ray chest PA view shows dextrocardia with Kyphoscoliosis Echo shows dextrocardia with ASD and VSD Head and face: Excess skin on the back of the neck Low hairline at the nape of the neck High hairline at the front of the head Large head Triangular face shape Broad forehead Short neck, webbed neck Eyes: Hypertelorism (widely set eyes) Epicanthal folds Ptosis (drooping of the eyelids) Nose: Upturned Nose Ears Low-set ears Backward-rotated ears Thick helix (outer…
