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Pediatrics C.V.S. c443d200

A 7-year-old child with rheumatic heart disease presents with pallor, fever and a palpable spleen. The following investigations would be needed to arrive at a diagnosis except:

A
Electrocardiogram
B
Echocardiogram
C
Blood culture
D
Urine examination
High-Yield Explanation
a. Electrocardiogram(Ref: Nelson's 20/e p 2269-2271, Ghai 8/e p 433-443)Infective endocarditis should be suspected in presence of pallor, fever and splenomegaly in a known case of RHDUrine examination shows albuminuria and microscopic hematuriaBlood culture should be done for diagnosis of the causative agentEchocardiography is done to detect the cardiac changes like vegetations.

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