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A 2-year-old male child presents with bluish discoloration of lips and palms, fast breathing, and inadequate weight gain. He has a history of congenital heart disease diagnosed at 4 months and is on daily medications, with notable physical exam findings including polydactyly and heart murmurs. The child is alert and afebrile, but exhibits signs of cyanosis and a low oxygen saturation level of 87%.

Author
viswa2172006
Language
EN

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