A 3-year-old child with right-sided heart failure has been admitted for worsening of his condition. Which of the following assessments would be considered one of the earliest signs of systemic venous congestion in this toddler?
A)
Breathlessness with activity
B)
Excessive crying
C)
Enlargement of the liver
D)
Increased urine output
Ans:
C
Feedback:
With RV function impaired, systemic venous congestion develops. Hepatomegaly due to liver congestion often is one of the first signs on systemic venous congestion in infants and children.
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