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A four-month-old girl was admitted to another hospital because of cyanosis.
The patient had been well until two months earlier, when she began to require up to 45 minutes for her feedings. Three weeks before admission, acral and perioral cyanosis were noted. During the two weeks before admission, she had a nonblanching papular rash over the left parietal region, which was the side on which she slept.
During the week before admission, the infant had episodes of vomiting, with each episode occurring several hours after she had eaten cereal. Her mother noted infrequent episodes of tachypnea, cough, and mild rhinorrhea,
Differential Diagnosis
Clinical Diagnosis
Dr. Joshua A. Boyce's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
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