Cyanotic congenital heart disease

Clinical manifestation ofPDA• Symptoms : are basically similar to VSD.• Signs :• 1.Wide pulse pressure with bounding pulse.• 2.Prominant apical impulse.• 3.Systolic or continuous murmur in the 2 ndintercostal space radiating toward the clavicledown the LT lower sternal border or apex.• 4.Machinary murmur.• 5. Middiastolic murmur.4