Dr Waqar Ali Khokhar

Cough with haemoptysis

Lethargic and tired

Fits

Constipation and loose stools

3 month old

Sleepy and tired

Short stature

Small hands and feet

Drug resistant

A girl with seizures

A boy with lethargy

Fever and abdominal pain

Low haemoglobin

Haemostasis

Investigations

Differential

Anaemia and fever

Recurrent blackouts and fainting episodes.

It’s important to recognize murmur in infancy and treat accordingly. Never underestimate murmurs.

Persistent cyanosis and no significant increase in saturation after 100% O2.