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You are treating a 4-month-old infant who was born with tetralogy of Fallot. Her mother brings her to the clinic because she has had diarrhea and fever since the previous evening. On physical examination, the infant is irritable and has cyanosis and a heart rate of 180 beats/min. Of the following, the finding that is MOST consistent with a tetralogy spell is:

Clubbing of the digits
Inability to hear a murmur
Oxygen saturation of 75% in room air
S3 gallop rhythm
Total Votes : 34

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