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Pediatrics General 04287324

Which of the following condition doesn't present with cyanosis at bih: September 2006

A
TOF
B
Transposition of great vessels
C
PDA
D
Tricuspid atresia
High-Yield Explanation
Ans. C: PDA Left to right shunts doesn't present with cyanosis, though they are prone for frequent chest infections. The three main L-R shunts are: ASD VSD PDA Right to left shunt are characterized by the presence of cyanosis, which leads to polycythemia and clubbing.They may either have pulmonary stenosis or pulmonary aerial hypeension. R-L shunt with pulmonic stenosis: - TOF - Tricuspid atresia - Ebstein anomaly - Transposition of great vessels - Total anomalous pulmonary venous connection R-L shunt with pulmonary aerial hypeension: - Eisenmenger syndrome

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