Dr. Muhammed Yasir (Pediatrics) needs a second opinion on this medical case.
8yr/m child with h/o cyanosis since infancy,came with breathlessness and cyanosis.,giddiness. O/E: central cyanosis+,plethoric conjunctiva,clubbing+ CVS:ESM+ pulmonary area Investigation: ABG: acidosis+ CBC: polycythemia,thrombocytopenia CXR:Oligemic lung field ECG:RVH+RAD Echo: pending Provisional diagnosis:CCHD?TOF physiology (severe PS) with cyanotic spell. Discuss the management?
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