                  Dr. Pankaj Sugaonkar

                  MBBS. DCH, DNB (Pediatric)                                                      Little Heart
                  FNB (Pediatric Cardiology), FSCAI, FPICS
                  Fellowship of National Board (Narayana Hrudhyalaya, Kolkata)
                  Fellow Cardiac MRI & Fetal Echo
                  Mobile : 8108266407                                                                                 Care Center
                  Reg.No .: 2002/03/1023



                                                                                                 Date :- 04/08/2023

                                     Name -Vansh Ingale Age- 7 month weight -5.770 kg
                                     Saturation 98 %


                                     Complaints-
                                     Came for evalaution


                                    C/o Murmur


                                    C/o Feeding difficulties


                                     Gaining weight


                                   General examination- well Palpable femorals, No dysmorphic features
                                   present

                                   CVS- S1 normal, s2 loud, 3/6PSM at LLSB


                                  Impression - Large VSD , Need Surgical closure .


                                  Advice


                                   Syp.Furoped 0.4 ml twice a day
                                   Tab Aldactone 25 mg 1/4 th tab twice a day
                                  Syp. Dixin ped 0.4 ml twice a day


                                  Stop medications for two days if loose motions/vomiting


                                 Follow up after 2 month , 4 october 2023


                                 Monitor weight gain


                                For rest followup with Dr. Milind Kanjalkar sir


                                Inform sos

                                                                                                         KAJ SOGROS
                                                                                                         Jammy




                                             Appointment No .: 8698313098, 7620559159




Shot on OnePlus
                                                                                                                                    09/08/23

By Dev                                                                                                                                 8:09 pm

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