n CME : Your SA Journal of CPD - Managing children's heart disease : a basic guide to wizardry : guest editorial




Few things are as worrisome as a sick child, and when that child's malaise seems to spring from a defective heart, most medics pale. Differential cyanosis, mid-diastolic murmur, dextrocardia and ejection click: the legion of terms from the lexicon of cardiogenic symptoms and signs seem to be suffused with an aura of daunting complexity. Only after some people - mumbling incoherently around a flashing echo screen in a darkened room - have probed the patient, or a pontificating highbrow has deciphered those hideous hieroglyphics on long paper strips, may cracks appear to throw some light on the child's true diagnosis. Then you pass your patient on through a series of hoops into the hands of worried anaesthetists asking awkward questions before allowing a coldly competent craftsman to 'correct the defect'.


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