Children and Heart

Dr. NB Basnet summarizes: 

     How to Recognize Heart Disease in Children?
     Activity: Less active, less alert, easy fatigability, exercise intolerance
     Breathing: fast, difficult, shortness of breath
     Color: bluish discoloration of tongue, lips, fingers; pale skin
     Deformity: bulged chest, deformed body organ, congenital anomalies
     Edema: swelling of face, limbs, body, abdomen
     Feeding: difficulty in sucking, poor feeding, tired easily
     Growth: delayed growth and development
     History of viral infection, diabetes, smoking and intake of drugs, alcohol during pregnancy
     Infection: recurrent respiratory infection
     Joint: pain, swelling
     Others: excessive sweating; visible pulsation on the chest and neck, palpitation; syncope, faintness, seizure, restlessness, irritability, squatting posture, cold extremities, decreased urine, bleeding from nose, obesity, prematurity, malposition, clubbing, routine health check up finding