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ARTICLE |

Congestive Failure in a 5-Day-Old Child

Jack Wittenberg, MD
JAMA. 1966;197(3):212-213. doi:10.1001/jama.1966.03110030106036.
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Dr. Dale E. Wenlund: A 5-day-old baby boy was referred to this hospital because of congestive failure. The child had been born of a normal full-term pregnancy. There had been a short labor of only one hour and a normal delivery. Initially, he did well but on the fifth day, developed respiratory distress. A diagnosis of congestive failure was made at that time. It was noted that the infant was not cyanotic but had a respiratory rate of 140 per minute and a normal temperature level.

On admission to the hospital, he was in respiratory distress but did not appear to be moribund. The blood pressure was thought to be about 60 mm Hg in both the arms and the legs, although this was difficult to determine. The heart beat was in a gallop rhythm at a rate of 140 beats per minute. There was a grade I systolic murmur

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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