CVS History Takingin PediatricsYusri Arif bin Sapaee

5th Year Medical StudentCairo University

Symptoms ofLeft-sided Heart Failure

• Dyspnea• Grade (on exertion – at rest)

• Orthopnea• Cardiac asthma• Diaphoresis with feeding• Cough – expectoration –

hemoptysis

Symptoms ofRight-sided Heart Failure

• Edema• Lower limb• Puffiness of eyelids

• Pain in right hypochondrium• Jaundice• Congested neck vein• Dyspepsia

Modified Ross Heart Failure Classification

for ChildrenClass I Asymptomatic

Class II

Mild tachypnea or diaphoresis with feeding in infants

Dyspnea on exertion in older children

No growth failure

Class III

Marked tachypnea or diaphoresis with feeding in infants

Marked dyspnea on exertion

Prolonged feeding times with growth failure

Class IVSymptoms such as tachypnea, retractions, grunting, or diaphoresis at rest

Symptoms ofLow Cardiac Output

• Brain Dizziness, blurring of vision, syncope (fainting)

• Kidney Oliguria• Muscles Easy fatigability, muscle

claudication of lower limb• Cold extremities

Cyanosis• Onset• Course• Duration• Cyanotic spells• Associated squatting

Palpitation• Tachycardia• Bradycardia

Symptoms of Hypertension

• Headache• Blurring of vision

Rheumatic Activities• History of sore throat• Fever• Joint pain

• Which joint?• Signs of inflammation: swollen, red• Loss of function• Migrating

Symptoms ofInfective Endocarditis

• Fever (of unknown origin)• Thromboembolism

• Acute blindness• Hematuria• Hemiplegia

• Skin rash• Convulsions• Chorea

Failure to thrive