A 3-year-old child with right-sided heart failure has been admitted for worsening of their condition. Which of the following assessments would be considered one of the earliest signs of systemic venous congestion in this toddler?Group of answer choicesIncreased urine outputEnlargement of the liverReduced exercise toleranceBreathlessness with activity
Question
A 3-year-old child with right-sided heart failure has been admitted for worsening of their condition. Which of the following assessments would be considered one of the earliest signs of systemic venous congestion in this toddler?Group of answer choicesIncreased urine outputEnlargement of the liverReduced exercise toleranceBreathlessness with activity
Solution
Enlargement of the liver is considered one of the earliest signs of systemic venous congestion in a toddler with right-sided heart failure. This is because the right side of the heart receives deoxygenated blood from the body and pumps it to the lungs. If the right side of the heart is not working properly, blood can back up into the body, causing the liver to enlarge.
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