A parent of a 7-year-old girl with a repaired ventricular septal defect (VSD) calls the cardiology clinic and reports that the child is just not herself. Her appetite is decreased, she has had intermittent fevers around 38o C (100.4o F), and now her muscles and joints ache. Based on this information you advise the mother to:
a. immediately bring the child to clinic for evaluation.
b. come to the clinic next week on a scheduled appointment.
c. treat the symptoms with acetaminophen and fluids, since it is most likely a viral illness.
d. recognize that the child is trying to manipulate the parent by complaining of vague symptoms.
Answer: a. immediately bring the child to clinic for evaluation.
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