home *** CD-ROM | disk | FTP | other *** search
open in: 
MacOS 8.1
|
Win98
|
DOS
browse contents |
view JSON data
|
view as text
This file was processed as: EPOC Installation Package
(archive/epocInstallationPackage).
| Confidence | Program | Detection | Match Type | Support
|
|---|
| 100%
| dexvert
| EPOC Installation Package (archive/epocInstallationPackage)
| magic
| Supported |
| 1%
| dexvert
| Symbian Series 3 Installation file (other/symbianSeries3InstallationFile)
| ext
| Unsupported |
| 100%
| file
| Symbian installation file (EPOC release 3/4/5)
| default
| |
| 99%
| file
| data
| default
| |
| 100%
| TrID
| EPOC Installation package (rel. 2,3,5)
| default
| |
| 100%
| xdgMime
| application/vnd.symbian.install
| default
|
|
hex view+--------+-------------------------+-------------------------+--------+--------+
|00000000| 00 00 00 00 6d 00 00 10 | 19 04 00 10 bf d9 96 9d |....m...|........|
|00000010| fd 61 01 00 02 00 00 00 | 00 00 00 00 00 00 00 00 |.a......|........|
|00000020| 64 00 00 00 00 00 00 00 | 01 00 00 00 00 00 00 00 |d.......|........|
|00000030| 44 00 00 00 46 00 00 00 | 8e 00 00 00 00 00 00 00 |D...F...|........|
|00000040| 8e 00 00 00 01 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000050| 00 00 15 00 00 00 96 00 | 00 00 28 00 00 00 ab 00 |........|..(.....|
|00000060| 00 00 9b f8 03 00 23 01 | 00 00 00 00 00 00 01 00 |......#.|........|
|00000070| 00 00 02 00 00 00 12 00 | 00 00 d3 00 00 00 25 00 |........|......%.|
|00000080| 00 00 e5 00 00 00 88 02 | 00 00 be f9 03 00 19 00 |........|........|
|00000090| 00 00 0a 01 00 00 43 3a | 5c 53 49 53 54 45 4d 50 |......C:|\SISTEMP|
|000000a0| 5c 50 61 65 64 20 47 75 | 69 64 65 21 3a 5c 50 73 |\Paed Gu|ide!:\Ps|
|000000b0| 69 6f 6e 35 43 44 31 5c | 50 61 65 64 69 61 74 72 |ion5CD1\|Paediatr|
|000000c0| 69 63 73 47 75 69 64 65 | 5c 50 61 65 64 20 47 75 |icsGuide|\Paed Gu|
|000000d0| 69 64 65 43 3a 5c 53 49 | 53 54 45 4d 50 5c 42 69 |ideC:\SI|STEMP\Bi|
|000000e0| 73 2e 74 78 74 21 3a 5c | 50 73 69 6f 6e 35 43 44 |s.txt!:\|Psion5CD|
|000000f0| 31 5c 50 61 65 64 69 61 | 74 72 69 63 73 47 75 69 |1\Paedia|tricsGui|
|00000100| 64 65 5c 42 69 73 2e 74 | 78 74 50 61 65 64 69 61 |de\Bis.t|xtPaedia|
|00000110| 74 72 69 63 73 47 75 69 | 64 65 20 32 35 34 2e 31 |tricsGui|de 254.1|
|00000120| 20 6b 42 50 00 00 10 6d | 00 00 10 86 00 00 10 fe | kBP...m|........|
|00000130| a1 08 55 04 c3 07 00 00 | 00 00 00 88 f5 03 00 d1 |..U.....|........|
|00000140| 93 0d 40 86 00 00 10 22 | 44 61 74 61 2e 61 70 70 |..@...."|Data.app|
|00000150| 19 40 06 89 00 00 10 05 | 00 00 00 2e 01 00 10 07 |.@......|........|
|00000160| 00 00 00 31 01 00 10 08 | 00 00 00 30 43 45 43 47 |...1....|...0CECG|
|00000170| 20 2d 20 20 61 20 20 71 | 75 69 63 6b 20 20 67 75 | - a q|uick gu|
|00000180| 69 64 65 0d 06 0d 06 4e | 6f 72 6d 61 6c 20 41 78 |ide....N|ormal Ax|
|00000190| 69 73 0d 06 31 77 6b 20 | 2d 20 31 20 6d 74 68 20 |is..1wk |- 1 mth |
|000001a0| 20 20 20 20 20 20 20 20 | 20 20 20 2b 31 34 30 20 | | +140 |
|000001b0| 2d 20 31 38 30 0d 06 31 | 6d 74 68 20 2d 20 33 20 |- 180..1|mth - 3 |
|000001c0| 6d 74 68 20 20 20 20 20 | 20 20 20 20 20 20 2b 20 |mth | + |
|000001d0| 32 30 20 2d 20 31 33 30 | 0d 06 33 6d 74 68 20 2d |20 - 130|..3mth -|
|000001e0| 20 33 79 72 73 20 20 20 | 20 20 20 20 20 20 20 20 | 3yrs | |
|000001f0| 20 20 20 2b 31 30 20 2d | 20 31 31 30 0d 06 3e 20 | +10 -| 110..> |
|00000200| 33 20 79 72 73 20 20 20 | 20 20 20 20 20 20 20 20 |3 yrs | |
|00000210| 20 20 20 20 20 20 20 20 | 20 20 2b 33 30 20 2d 20 | | +30 - |
|00000220| 31 32 30 0d 06 0d 06 50 | 52 20 69 6e 74 65 72 76 |120....P|R interv|
|00000230| 61 6c 0d 06 30 2e 31 20 | 73 65 63 20 69 6e 20 69 |al..0.1 |sec in i|
|00000240| 6e 66 61 6e 63 79 0d 06 | 30 2e 31 36 20 73 65 63 |nfancy..|0.16 sec|
|00000250| 20 69 6e 20 61 64 6f 6c | 65 73 63 65 6e 63 65 0d | in adol|escence.|
|00000260| 06 0d 06 51 52 53 20 63 | 6f 6d 70 6c 65 78 0d 06 |...QRS c|omplex..|
|00000270| 3c 20 30 2e 30 36 20 73 | 65 63 20 20 3d 20 6e 6f |< 0.06 s|ec = no|
|00000280| 72 6d 61 6c 0d 06 30 2e | 30 36 20 2d 20 30 2e 31 |rmal..0.|06 - 0.1|
|00000290| 32 20 20 73 65 63 3d 20 | 69 6e 63 6f 6d 70 6c 65 |2 sec= |incomple|
|000002a0| 74 65 20 42 42 42 0d 06 | 3e 20 30 2e 31 32 20 73 |te BBB..|> 0.12 s|
|000002b0| 65 63 20 3d 20 63 6f 6d | 70 6c 65 74 65 20 42 42 |ec = com|plete BB|
|000002c0| 42 0d 06 0d 06 4c 6f 6f | 6b 20 66 75 72 74 68 65 |B....Loo|k furthe|
|000002d0| 72 20 66 6f 72 20 52 56 | 48 20 28 66 75 6c 6c 20 |r for RV|H (full |
|000002e0| 63 72 69 74 65 72 69 61 | 20 69 6e 20 43 6c 61 72 |criteria| in Clar|
|000002f0| 6b 65 20 43 6c 69 6e 69 | 63 29 20 69 66 20 0d 06 |ke Clini|c) if ..|
|00000300| 52 20 69 6e 20 56 31 20 | 3e 20 32 30 20 6d 6d 20 |R in V1 |> 20 mm |
|00000310| 61 6e 79 20 61 67 65 20 | 0d 06 53 20 69 6e 20 56 |any age |..S in V|
|00000320| 36 20 3e 20 31 30 6d 6d | 20 20 69 66 20 75 6e 64 |6 > 10mm| if und|
|00000330| 65 72 20 20 6f 6e 65 20 | 6d 74 68 20 0d 06 6f 72 |er one |mth ..or|
|00000340| 20 53 20 69 6e 20 56 36 | 20 3e 20 35 6d 6d 20 69 | S in V6| > 5mm i|
|00000350| 66 20 6f 76 65 72 20 6f | 6e 65 20 6d 74 68 0d 06 |f over o|ne mth..|
|00000360| 0d 06 4c 6f 6f 6b 20 66 | 75 72 74 68 65 72 20 66 |..Look f|urther f|
|00000370| 6f 72 20 4c 56 48 20 69 | 66 20 0d 06 53 20 69 6e |or LVH i|f ..S in|
|00000380| 20 56 31 20 3e 20 32 30 | 6d 6d 20 61 6e 79 20 61 | V1 > 20|mm any a|
|00000390| 67 65 0d 06 52 20 20 69 | 6e 20 56 36 20 3e 20 31 |ge..R i|n V6 > 1|
|000003a0| 36 6d 6d 20 75 6e 64 65 | 72 20 36 20 6d 74 68 73 |6mm unde|r 6 mths|
|000003b0| 20 0d 06 6f 72 52 20 69 | 6e 20 56 36 20 3e 20 31 | ..orR i|n V6 > 1|
|000003c0| 39 6d 6d 20 69 66 20 6f | 76 65 72 20 36 20 6d 74 |9mm if o|ver 6 mt|
|000003d0| 68 73 0d 06 0d 06 20 0d | 06 43 6f 6e 73 69 64 65 |hs.... .|.Conside|
|000003e0| 72 20 72 69 67 68 74 20 | 61 74 72 69 61 6c 20 68 |r right |atrial h|
|000003f0| 79 70 65 72 74 72 6f 70 | 68 79 20 77 69 74 68 0d |ypertrop|hy with.|
|00000400| 06 50 65 61 6b 65 64 20 | 50 20 77 61 76 65 20 3a |.Peaked |P wave :|
|00000410| 20 3e 20 33 20 6d 6d 20 | 69 66 20 3c 20 36 20 6d | > 3 mm |if < 6 m|
|00000420| 6f 6e 74 68 73 0d 06 20 | 20 20 20 20 20 20 20 20 |onths.. | |
|00000430| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 | | |
|00000440| 20 20 3e 20 32 2e 35 20 | 6d 6d 20 20 20 3e 20 36 | > 2.5 |mm > 6|
|00000450| 20 6d 6f 6e 74 68 73 0d | 06 0d 06 43 6f 6e 73 69 | months.|...Consi|
|00000460| 64 65 72 20 6c 65 66 74 | 20 61 74 72 69 61 6c 20 |der left| atrial |
|00000470| 68 79 70 65 72 74 72 6f | 70 68 79 20 77 69 74 68 |hypertro|phy with|
|00000480| 0d 06 50 20 20 77 61 76 | 65 20 6c 65 61 64 20 31 |..P wav|e lead 1|
|00000490| 31 20 3e 20 30 2e 30 39 | 20 73 65 63 06 ed 43 04 |1 > 0.09| sec..C.|
|000004a0| 00 00 00 00 00 02 01 00 | 00 00 0f 00 00 00 07 b4 |........|........|
|000004b0| 00 00 00 0a 00 00 00 00 | 16 d0 02 00 00 15 00 00 |........|........|
|000004c0| 00 1a ff ff ff 20 01 1c | 40 01 00 00 1f 02 22 06 |..... ..|@.....".|
|000004d0| 41 72 69 61 6c 01 02 00 | 00 00 0f 00 00 00 07 b4 |Arial...|........|
|000004e0| 00 00 00 0a 00 00 00 00 | 16 d0 02 00 00 13 00 00 |........|........|
|000004f0| 00 1a ff ff ff 1c 40 01 | 00 00 1f 02 22 06 41 72 |......@.|....".Ar|
|00000500| 69 61 6c 01 22 00 00 00 | 18 00 00 00 00 0f 00 00 |ial."...|........|
|00000510| 00 07 f0 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00000520| 02 00 00 00 02 00 00 00 | 01 0d 00 00 00 00 0f 00 |........|........|
|00000530| 00 00 07 b4 00 00 00 0a | 00 00 00 00 16 d0 02 00 |........|........|
|00000540| 00 02 00 00 00 23 00 00 | 00 02 23 00 00 00 02 24 |.....#..|..#....$|
|00000550| 00 00 00 02 27 00 00 00 | 02 02 00 00 00 02 0d 00 |....'...|........|
|00000560| 00 00 01 14 00 00 00 02 | 19 00 00 00 00 0f 00 00 |........|........|
|00000570| 00 07 b4 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00000580| 02 00 00 00 02 00 00 00 | 01 0d 00 00 00 01 16 00 |........|........|
|00000590| 00 00 02 22 00 00 00 02 | 1b 00 00 00 02 02 00 00 |..."....|........|
|000005a0| 00 01 3b 00 00 00 00 0f | 00 00 00 07 b4 00 00 00 |..;.....|........|
|000005b0| 0a 00 00 00 00 16 d0 02 | 00 00 04 00 00 00 1a 00 |........|........|
|000005c0| 00 00 02 24 00 00 00 02 | 22 00 00 00 02 02 00 00 |...$....|".......|
|000005d0| 00 01 1a 00 00 00 00 0f | 00 00 00 07 b4 00 00 00 |........|........|
|000005e0| 0a 00 00 00 00 16 d0 02 | 00 00 02 00 00 00 18 00 |........|........|
|000005f0| 00 00 02 1f 00 00 00 02 | 21 00 00 00 02 02 00 00 |........|!.......|
|00000600| 00 02 03 00 00 00 00 0f | 00 00 00 07 b4 00 00 00 |........|........|
|00000610| 0a 00 00 00 00 16 d0 02 | 00 00 02 00 00 00 28 00 |........|......(.|
|00000620| 00 00 01 26 00 00 00 02 | 32 00 00 00 00 0f 00 00 |...&....|2.......|
|00000630| 00 07 b4 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00000640| 02 00 00 00 02 00 00 00 | 01 27 00 00 00 01 1b 00 |........|.'......|
|00000650| 00 00 00 00 00 00 00 04 | 00 00 00 14 00 00 00 00 |........|........|
|00000660| 16 00 00 00 15 00 00 00 | 1a ff ff ff 1c 68 01 00 |........|.....h..|
|00000670| 00 1e 01 1f 02 22 06 41 | 72 69 61 6c 01 00 02 00 |.....".A|rial....|
|00000680| 00 00 13 00 00 00 1a ff | ff ff 1c 40 01 00 00 1f |........|...@....|
|00000690| 02 22 06 41 72 69 61 6c | 01 00 0b 00 00 00 15 00 |.".Arial|........|
|000006a0| 00 00 1a ff ff ff 20 01 | 1c 40 01 00 00 1f 02 22 |...... .|.@....."|
|000006b0| 06 41 72 69 61 6c 01 00 | 02 00 00 00 13 00 00 00 |.Arial..|........|
|000006c0| 1a ff ff ff 1c 40 01 00 | 00 1f 02 22 06 41 72 69 |.....@..|...".Ari|
|000006d0| 61 6c 01 00 17 00 00 00 | 13 00 00 00 1a ff ff ff |al......|........|
|000006e0| 1c 40 01 00 00 1f 02 22 | 06 41 72 69 61 6c 01 00 |.@....."|.Arial..|
|000006f0| 02 00 00 00 15 00 00 00 | 1a ff ff ff 20 01 1c 40 |........|.... ..@|
|00000700| 01 00 00 1f 02 22 06 41 | 72 69 61 6c 01 00 14 00 |.....".A|rial....|
|00000710| 00 00 15 00 00 00 1a ff | ff ff 20 01 1c 40 01 00 |........|.. ..@..|
|00000720| 00 1f 02 22 06 41 72 69 | 61 6c 01 00 22 00 00 00 |...".Ari|al.."...|
|00000730| 13 00 00 00 1a ff ff ff | 1c 40 01 00 00 1f 02 22 |........|.@....."|
|00000740| 06 41 72 69 61 6c 01 00 | 02 00 00 00 15 00 00 00 |.Arial..|........|
|00000750| 1a ff ff ff 20 01 1c 40 | 01 00 00 1f 02 22 06 41 |.... ..@|.....".A|
|00000760| 72 69 61 6c 01 00 03 00 | 00 00 13 00 00 00 1a ff |rial....|........|
|00000770| ff ff 1c 40 01 00 00 1f | 02 22 06 41 72 69 61 6c |...@....|.".Arial|
|00000780| 01 00 17 00 00 00 15 00 | 00 00 1a ff ff ff 20 01 |........|...... .|
|00000790| 1c 40 01 00 00 1f 02 22 | 06 41 72 69 61 6c 01 00 |.@....."|.Arial..|
|000007a0| 03 00 00 00 13 00 00 00 | 1a ff ff ff 1c 40 01 00 |........|.....@..|
|000007b0| 00 1f 02 22 06 41 72 69 | 61 6c 01 00 01 00 00 00 |...".Ari|al......|
|000007c0| 13 00 00 00 1a ff ff ff | 1c 40 01 00 00 1f 02 22 |........|.@....."|
|000007d0| 06 41 72 69 61 6c 01 00 | 02 00 00 00 15 00 00 00 |.Arial..|........|
|000007e0| 1a ff ff ff 20 01 1c 40 | 01 00 00 1f 02 22 06 41 |.... ..@|.....".A|
|000007f0| 72 69 61 6c 01 00 30 00 | 00 00 13 00 00 00 1a ff |rial..0.|........|
|00000800| ff ff 1c 40 01 00 00 1f | 02 22 06 41 72 69 61 6c |...@....|.".Arial|
|00000810| 01 00 02 00 00 00 15 00 | 00 00 1a ff ff ff 20 01 |........|...... .|
|00000820| 1c 40 01 00 00 1f 02 22 | 06 41 72 69 61 6c 01 00 |.@....."|.Arial..|
|00000830| 0d 00 00 00 13 00 00 00 | 1a ff ff ff 1c 40 01 00 |........|.....@..|
|00000840| 00 1f 02 22 06 41 72 69 | 61 6c 01 00 02 00 00 00 |...".Ari|al......|
|00000850| 13 00 00 00 1a ff ff ff | 1c 40 01 00 00 1f 02 22 |........|.@....."|
|00000860| 06 52 6f 6d 61 6e 03 00 | 0b 00 00 00 13 00 00 00 |.Roman..|........|
|00000870| 1a ff ff ff 1c 40 01 00 | 00 1f 02 22 06 41 72 69 |.....@..|...".Ari|
|00000880| 61 6c 01 00 01 00 00 00 | 00 00 00 00 55 47 48 45 |al......|....UGHE|
|00000890| 41 52 54 20 20 46 41 49 | 4c 55 52 45 09 09 0d 06 |ART FAI|LURE....|
|000008a0| 54 68 69 73 20 69 73 20 | 61 20 73 74 61 74 65 20 |This is |a state |
|000008b0| 69 6e 20 77 68 69 63 68 | 20 74 68 65 20 68 65 61 |in which| the hea|
|000008c0| 72 74 20 63 61 6e 6e 6f | 74 20 70 72 6f 64 75 63 |rt canno|t produc|
|000008d0| 65 20 74 68 65 20 63 61 | 72 64 69 61 63 20 6f 75 |e the ca|rdiac ou|
|000008e0| 74 70 75 74 20 72 65 71 | 75 69 72 65 64 20 74 6f |tput req|uired to|
|000008f0| 20 73 75 73 74 61 69 6e | 20 74 68 65 20 6d 65 74 | sustain| the met|
|00000900| 61 62 6f 6c 69 63 20 6e | 65 65 64 73 20 6f 66 20 |abolic n|eeds of |
|00000910| 74 68 65 20 62 6f 64 79 | 2e 20 49 74 20 63 61 6e |the body|. It can|
|00000920| 20 62 65 20 64 69 66 66 | 69 63 75 6c 74 20 74 6f | be diff|icult to|
|00000930| 20 64 69 61 67 6e 6f 73 | 65 20 69 6e 20 69 6e 66 | diagnos|e in inf|
|00000940| 61 6e 63 79 20 77 68 65 | 72 65 20 69 74 20 6d 61 |ancy whe|re it ma|
|00000950| 79 20 62 65 20 63 6f 6e | 66 75 73 65 64 20 77 69 |y be con|fused wi|
|00000960| 74 68 20 72 65 73 70 69 | 72 61 74 6f 72 79 20 69 |th respi|ratory i|
|00000970| 6c 6c 6e 65 73 73 65 73 | 2e 0d 06 0d 06 53 79 6d |llnesses|.....Sym|
|00000980| 70 74 6f 6d 73 0d 06 09 | 64 79 73 70 6e 6f 65 61 |ptoms...|dyspnoea|
|00000990| 2c 20 66 65 65 64 69 6e | 67 20 64 69 66 66 69 63 |, feedin|g diffic|
|000009a0| 75 6c 74 69 65 73 2c 20 | 73 77 65 61 74 69 6e 67 |ulties, |sweating|
|000009b0| 2c 20 67 72 6f 77 74 68 | 20 66 61 69 6c 75 72 65 |, growth| failure|
|000009c0| 0d 06 09 6f 6c 64 65 72 | 20 63 68 69 6c 64 72 65 |...older| childre|
|000009d0| 6e 20 6d 61 79 20 72 65 | 70 6f 72 74 20 70 6f 6f |n may re|port poo|
|000009e0| 72 20 65 78 65 72 63 69 | 73 65 20 74 6f 6c 65 72 |r exerci|se toler|
|000009f0| 61 6e 63 65 2c 20 61 6e | 6f 72 65 78 69 61 2c 20 |ance, an|orexia, |
|00000a00| 61 62 64 6f 6d 69 6e 61 | 6c 20 70 61 69 6e 20 61 |abdomina|l pain a|
|00000a10| 6e 64 20 63 6f 75 67 68 | 20 0d 06 0d 06 53 69 67 |nd cough| ....Sig|
|00000a20| 6e 73 0d 06 09 74 61 63 | 68 79 70 6e 6f 65 61 20 |ns...tac|hypnoea |
|00000a30| 0d 06 09 74 61 63 68 79 | 63 61 72 64 69 61 0d 06 |...tachy|cardia..|
|00000a40| 09 68 65 70 61 74 6f 6d | 65 67 61 6c 79 0d 06 09 |.hepatom|egaly...|
|00000a50| 65 6c 65 76 61 74 65 64 | 20 20 4a 56 50 20 20 69 |elevated| JVP i|
|00000a60| 6e 20 20 61 20 20 63 68 | 69 6c 64 0d 06 09 63 79 |n a ch|ild...cy|
|00000a70| 61 6e 6f 73 69 73 20 20 | 61 6e 64 20 20 67 72 75 |anosis |and gru|
|00000a80| 6e 74 69 6e 67 20 77 69 | 74 68 20 20 70 75 6c 6d |nting wi|th pulm|
|00000a90| 6f 6e 61 72 79 20 20 6f | 65 64 65 6d 61 0d 06 09 |onary o|edema...|
|00000aa0| 64 69 73 70 6c 61 63 65 | 64 20 20 61 70 65 78 20 |displace|d apex |
|00000ab0| 20 62 65 61 74 20 20 69 | 6e 64 69 63 61 74 69 6e | beat i|ndicatin|
|00000ac0| 67 20 20 65 6e 6c 61 72 | 67 65 64 20 20 68 65 61 |g enlar|ged hea|
|00000ad0| 72 74 0d 06 09 68 79 70 | 6f 74 65 6e 73 69 6f 6e |rt...hyp|otension|
|00000ae0| 20 20 77 69 74 68 20 20 | 73 65 76 65 72 65 20 20 | with |severe |
|00000af0| 68 65 61 72 74 20 20 66 | 61 69 6c 75 72 65 0d 06 |heart f|ailure..|
|00000b00| 09 67 61 6c 6c 6f 70 20 | 20 72 68 79 74 68 6d 20 |.gallop | rhythm |
|00000b10| 6f 6e 20 20 61 75 73 63 | 75 6c 74 61 74 69 6f 6e |on ausc|ultation|
|00000b20| 0d 06 09 61 20 20 68 65 | 61 72 74 20 6d 75 72 6d |...a he|art murm|
|00000b30| 75 72 20 6d 61 79 20 69 | 6e 64 69 63 61 74 65 20 |ur may i|ndicate |
|00000b40| 61 20 73 74 72 75 63 74 | 75 72 61 6c 20 61 6e 6f |a struct|ural ano|
|00000b50| 6d 61 6c 79 0d 06 09 69 | 6e 74 72 61 63 72 61 6e |maly...i|ntracran|
|00000b60| 69 61 6c 20 62 72 75 69 | 74 20 6d 61 79 20 69 6e |ial brui|t may in|
|00000b70| 64 69 63 61 74 65 20 41 | 2d 56 20 20 6d 61 6c 66 |dicate A|-V malf|
|00000b80| 6f 72 6d 61 74 69 6f 6e | 0d 06 09 68 79 70 65 72 |ormation|...hyper|
|00000b90| 74 65 6e 73 69 6f 6e 20 | 6d 61 79 20 63 61 75 73 |tension |may caus|
|00000ba0| 65 20 63 6f 6e 67 65 73 | 74 69 76 65 20 68 65 61 |e conges|tive hea|
|00000bb0| 72 74 20 66 61 69 6c 75 | 72 65 0d 06 0d 06 4e 6f |rt failu|re....No|
|00000bc0| 74 65 2e 20 20 0d 06 50 | 65 72 69 70 68 65 72 61 |te. ..P|eriphera|
|00000bd0| 6c 20 6f 65 64 65 6d 61 | 20 69 73 20 61 20 6c 61 |l oedema| is a la|
|00000be0| 74 65 20 73 69 67 6e 20 | 6f 66 20 68 65 61 72 74 |te sign |of heart|
|00000bf0| 20 66 61 69 6c 75 72 65 | 20 69 6e 20 63 68 69 6c | failure| in chil|
|00000c00| 64 72 65 6e 0d 06 41 75 | 73 63 75 6c 74 61 74 69 |dren..Au|scultati|
|00000c10| 6f 6e 20 6f 66 20 74 68 | 65 20 6c 75 6e 67 73 20 |on of th|e lungs |
|00000c20| 69 73 20 75 73 75 61 6c | 6c 79 20 6e 6f 72 6d 61 |is usual|ly norma|
|00000c30| 6c 20 69 6e 20 79 6f 75 | 6e 67 20 63 68 69 6c 64 |l in you|ng child|
|00000c40| 72 65 6e 20 77 69 74 68 | 20 68 65 61 72 74 20 66 |ren with| heart f|
|00000c50| 61 69 6c 75 72 65 2e 0d | 06 0d 06 0d 06 0d 06 0d |ailure..|........|
|00000c60| 06 50 6f 73 73 69 62 6c | 65 20 20 63 61 75 73 65 |.Possibl|e cause|
|00000c70| 73 0d 06 43 6f 6e 67 65 | 6e 69 74 61 6c 20 20 68 |s..Conge|nital h|
|00000c80| 65 61 72 74 20 20 64 65 | 66 65 63 74 73 09 0d 06 |eart de|fects...|
|00000c90| 4d 79 6f 63 61 72 64 69 | 74 69 73 09 09 09 0d 06 |Myocardi|tis.....|
|00000ca0| 43 61 72 64 69 6f 6d 79 | 6f 70 61 74 68 79 09 09 |Cardiomy|opathy..|
|00000cb0| 09 0d 06 53 75 70 72 61 | 76 65 6e 74 72 69 63 75 |...Supra|ventricu|
|00000cc0| 6c 61 72 20 20 74 61 63 | 68 79 63 61 72 64 69 61 |lar tac|hycardia|
|00000cd0| 0d 06 53 79 73 74 65 6d | 69 63 20 68 79 70 65 72 |..System|ic hyper|
|00000ce0| 74 65 6e 73 69 6f 6e 0d | 06 41 6e 61 65 6d 69 61 |tension.|.Anaemia|
|00000cf0| 0d 06 48 79 70 65 72 74 | 68 79 72 6f 69 64 69 73 |..Hypert|hyroidis|
|00000d00| 6d 20 0d 06 41 2d 56 20 | 6d 61 6c 66 6f 72 6d 61 |m ..A-V |malforma|
|00000d10| 74 69 6f 6e 73 0d 06 0d | 06 53 75 73 70 65 63 74 |tions...|.Suspect|
|00000d20| 20 20 6d 79 6f 63 61 72 | 64 69 74 69 73 20 20 77 | myocar|ditis w|
|00000d30| 69 74 68 0d 06 09 63 6f | 6e 67 65 73 74 69 76 65 |ith...co|ngestive|
|00000d40| 20 20 68 65 61 72 74 20 | 20 66 61 69 6c 75 72 65 | heart | failure|
|00000d50| 0d 06 09 64 69 73 74 61 | 6e 74 20 20 68 65 61 72 |...dista|nt hear|
|00000d60| 74 20 20 73 6f 75 6e 64 | 73 0d 06 09 66 65 76 65 |t sound|s...feve|
|00000d70| 72 0d 06 09 61 72 72 79 | 74 68 79 6d 69 61 73 0d |r...arry|thymias.|
|00000d80| 06 09 72 65 64 75 63 65 | 64 20 51 52 53 20 76 6f |..reduce|d QRS vo|
|00000d90| 6c 74 61 67 65 73 2c 20 | 53 54 20 61 6e 64 20 54 |ltages, |ST and T|
|00000da0| 20 77 61 76 65 20 63 68 | 61 6e 67 65 73 0d 06 0d | wave ch|anges...|
|00000db0| 06 53 75 73 70 65 63 74 | 20 64 69 6c 61 74 65 64 |.Suspect| dilated|
|00000dc0| 20 63 61 72 64 69 6f 6d | 79 6f 70 61 74 68 79 20 | cardiom|yopathy |
|00000dd0| 77 69 74 68 0d 06 09 63 | 6f 6e 67 65 73 74 69 76 |with...c|ongestiv|
|00000de0| 65 20 68 65 61 72 74 20 | 66 61 69 6c 75 72 65 0d |e heart |failure.|
|00000df0| 06 09 61 72 72 79 74 68 | 6d 69 61 73 0d 06 09 4c |..arryth|mias...L|
|00000e00| 56 48 20 6f 6e 20 45 43 | 47 0d 06 09 70 72 6f 6d |VH on EC|G...prom|
|00000e10| 69 6e 65 6e 74 20 70 20 | 77 61 76 65 73 20 61 6e |inent p |waves an|
|00000e20| 64 20 53 54 20 63 68 61 | 6e 67 65 73 0d 06 0d 06 |d ST cha|nges....|
|00000e30| 49 6e 76 65 73 74 69 67 | 61 74 69 6f 6e 73 0d 06 |Investig|ations..|
|00000e40| 43 68 65 73 74 20 58 2d | 72 61 79 20 61 6e 64 20 |Chest X-|ray and |
|00000e50| 20 45 43 47 0d 06 41 72 | 74 65 72 69 61 6c 20 62 | ECG..Ar|terial b|
|00000e60| 6c 6f 6f 64 20 67 61 73 | 65 73 0d 06 46 42 43 2c |lood gas|es..FBC,|
|00000e70| 20 55 2b 45 2c 43 72 65 | 61 74 69 6e 69 6e 65 2c | U+E,Cre|atinine,|
|00000e80| 43 61 6c 63 69 75 6d 2c | 20 47 6c 75 63 6f 73 65 |Calcium,| Glucose|
|00000e90| 2c 45 53 52 0d 06 43 6f | 6e 73 69 64 65 72 20 73 |,ESR..Co|nsider s|
|00000ea0| 65 70 74 69 63 20 73 63 | 72 65 65 6e 0d 06 43 6f |eptic sc|reen..Co|
|00000eb0| 6e 73 69 64 65 72 20 76 | 69 72 61 6c 20 74 69 74 |nsider v|iral tit|
|00000ec0| 72 65 73 2c 20 20 4c 44 | 48 20 61 6e 64 20 20 43 |res, LD|H and C|
|00000ed0| 4b 20 69 66 20 6d 79 6f | 63 61 72 64 69 74 69 73 |K if myo|carditis|
|00000ee0| 20 73 75 73 70 65 63 74 | 65 64 0d 06 0d 06 0d 06 | suspect|ed......|
|00000ef0| 0d 06 0d 06 4d 61 6e 61 | 67 65 6d 65 6e 74 20 28 |....Mana|gement (|
|00000f00| 20 6d 61 79 20 6e 65 65 | 64 20 74 6f 20 63 6f 6e | may nee|d to con|
|00000f10| 74 61 63 74 20 63 61 72 | 64 69 6f 6c 6f 67 69 73 |tact car|diologis|
|00000f20| 74 29 0d 06 0d 06 41 2e | 20 47 65 6e 65 72 61 6c |t)....A.| General|
|00000f30| 20 6d 65 61 73 75 72 65 | 73 0d 06 09 6d 6f 6e 69 | measure|s...moni|
|00000f40| 74 6f 72 20 53 61 4f 32 | 20 61 6e 64 20 63 61 72 |tor SaO2| and car|
|00000f50| 64 69 61 63 20 72 68 79 | 74 68 6d 20 69 66 20 73 |diac rhy|thm if s|
|00000f60| 65 76 65 72 65 2e 0d 06 | 09 61 64 6d 69 6e 69 73 |evere...|.adminis|
|00000f70| 74 65 72 20 6f 78 79 67 | 65 6e 20 69 66 20 6e 65 |ter oxyg|en if ne|
|00000f80| 63 65 73 73 61 72 79 0d | 06 09 63 6f 72 72 65 63 |cessary.|..correc|
|00000f90| 74 20 61 63 69 64 6f 73 | 69 73 2e 0d 06 09 63 6f |t acidos|is....co|
|00000fa0| 72 72 65 63 74 20 61 6e | 61 65 6d 69 61 20 69 66 |rrect an|aemia if|
|00000fb0| 20 73 65 76 65 72 65 2e | 0d 06 42 2e 20 44 72 75 | severe.|..B. Dru|
|00000fc0| 67 20 6d 65 61 73 75 72 | 65 73 20 28 50 61 65 64 |g measur|es (Paed|
|00000fd0| 69 61 74 72 69 63 20 50 | 72 65 73 63 72 69 62 65 |iatric P|rescribe|
|00000fe0| 72 29 06 ca 42 46 69 76 | 65 20 6f 75 74 20 6f 66 |r)..BFiv|e out of|
|00000ff0| 20 73 69 78 20 63 72 69 | 74 65 72 69 61 20 6d 75 | six cri|teria mu|
|00001000| 73 74 20 62 65 20 66 75 | 6c 66 69 6c 6c 65 64 20 |st be fu|lfilled |
|00001010| 66 6f 72 20 64 69 61 67 | 6e 6f 73 69 73 2e 0d 06 |for diag|nosis...|
|00001020| 0d 06 31 2e 09 46 65 76 | 65 72 20 20 20 20 20 20 |..1..Fev|er |
|00001030| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 | | |
|00001040| 20 20 20 0d 06 70 65 72 | 73 69 73 74 69 6e 67 20 | ..per|sisting |
|00001050| 66 6f 72 20 61 74 20 6c | 65 61 73 74 20 6f 6e 65 |for at l|east one|
|00001060| 20 77 65 65 6b 0d 06 32 | 2e 20 43 6f 6e 6a 75 6e | week..2|. Conjun|
|00001070| 63 74 69 76 69 74 69 73 | 20 20 20 20 20 20 20 20 |ctivitis| |
|00001080| 20 20 20 20 20 0d 06 62 | 69 6c 61 74 65 72 61 6c | ..b|ilateral|
|00001090| 20 61 6e 64 20 6e 6f 6e | 20 2d 20 70 75 72 75 6c | and non| - purul|
|000010a0| 65 6e 74 0d 06 33 2e 20 | 4c 69 70 73 20 61 6e 64 |ent..3. |Lips and|
|000010b0| 20 6f 72 61 6c 20 6d 75 | 63 6f 73 61 20 0d 06 64 | oral mu|cosa ..d|
|000010c0| 72 79 2c 20 66 69 73 73 | 75 72 65 64 20 6c 69 70 |ry, fiss|ured lip|
|000010d0| 73 2c 20 72 65 64 64 65 | 6e 65 64 20 6f 72 61 6c |s, redde|ned oral|
|000010e0| 20 61 6e 64 20 70 68 61 | 72 79 6e 67 65 61 6c 20 | and pha|ryngeal |
|000010f0| 6d 75 63 6f 73 61 2c 20 | 70 72 6f 6d 69 6e 65 6e |mucosa, |prominen|
|00001100| 74 20 70 61 70 69 6c 6c | 61 65 2c 20 73 74 72 61 |t papill|ae, stra|
|00001110| 77 62 65 72 72 79 20 74 | 6f 6e 67 75 65 0d 06 34 |wberry t|ongue..4|
|00001120| 2e 50 65 72 69 70 68 65 | 72 69 65 73 09 0d 06 61 |.Periphe|ries...a|
|00001130| 63 75 74 65 20 2d 20 20 | 6f 65 64 65 6d 61 20 61 |cute - |oedema a|
|00001140| 6e 64 20 65 72 79 74 68 | 65 6d 61 0d 06 63 6f 6e |nd eryth|ema..con|
|00001150| 76 61 6c 65 73 63 65 6e | 74 20 2d 20 64 65 73 71 |valescen|t - desq|
|00001160| 75 61 6d 61 74 69 6f 6e | 0d 06 35 2e 52 61 73 68 |uamation|..5.Rash|
|00001170| 09 09 09 0d 06 70 6f 6c | 79 6d 6f 72 70 68 6f 75 |.....pol|ymorphou|
|00001180| 73 20 65 78 61 6e 74 68 | 65 6d 2c 20 6e 6f 20 76 |s exanth|em, no v|
|00001190| 65 73 69 63 6c 65 20 6f | 72 20 63 72 75 73 74 20 |esicle o|r crust |
|000011a0| 66 6f 72 6d 61 74 69 6f | 6e 0d 06 36 2e 43 65 72 |formatio|n..6.Cer|
|000011b0| 76 69 63 61 6c 20 6c 79 | 6d 70 68 61 64 65 6e 6f |vical ly|mphadeno|
|000011c0| 70 61 74 68 79 09 0d 06 | 61 74 20 6c 65 61 73 74 |pathy...|at least|
|000011d0| 20 6f 6e 65 20 6e 6f 64 | 65 20 6f 66 20 31 2e 35 | one nod|e of 1.5|
|000011e0| 20 63 6d 20 64 69 61 6d | 65 74 65 72 0d 06 0d 06 | cm diam|eter....|
|000011f0| 49 6e 76 65 73 74 69 67 | 61 74 69 6f 6e 73 0d 06 |Investig|ations..|
|00001200| 46 75 6c 6c 20 62 6c 6f | 6f 64 20 63 6f 75 6e 74 |Full blo|od count|
|00001210| 20 2d 20 70 6c 61 74 65 | 6c 65 74 73 20 75 73 75 | - plate|lets usu|
|00001220| 61 6c 6c 79 20 69 6e 63 | 72 65 61 73 65 64 09 20 |ally inc|reased. |
|00001230| 0d 06 45 53 52 20 2d 20 | 65 6c 65 76 61 74 65 64 |..ESR - |elevated|
|00001240| 0d 06 45 43 47 0d 06 43 | 68 65 73 74 20 20 78 2d |..ECG..C|hest x-|
|00001250| 72 61 79 0d 06 0d 06 4d | 61 6e 61 67 65 6d 65 6e |ray....M|anagemen|
|00001260| 74 0d 06 53 65 65 6b 20 | 20 75 72 67 65 6e 74 20 |t..Seek | urgent |
|00001270| 63 61 72 64 69 6f 6c 6f | 67 69 63 61 6c 20 61 64 |cardiolo|gical ad|
|00001280| 76 69 63 65 20 73 6f 20 | 74 68 61 74 20 65 63 68 |vice so |that ech|
|00001290| 6f 63 61 72 64 69 6f 67 | 72 61 70 68 79 20 63 61 |ocardiog|raphy ca|
|000012a0| 6e 20 62 65 20 61 72 72 | 61 6e 67 65 64 2e 06 1c |n be arr|anged...|
|000012b0| 44 04 00 00 00 00 00 02 | 01 00 00 00 0f 00 00 00 |D.......|........|
|000012c0| 07 b4 00 00 00 0a 00 00 | 00 00 16 d0 02 00 00 13 |........|........|
|000012d0| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1f 02 22 06 |........|......".|
|000012e0| 41 72 69 61 6c 01 02 00 | 00 00 0f 00 00 00 07 b4 |Arial...|........|
|000012f0| 00 00 00 0a 00 00 00 00 | 16 d0 02 00 00 15 00 00 |........|........|
|00001300| 00 1a ff ff ff 1c 18 01 | 00 00 1e 01 1f 02 22 06 |........|......".|
|00001310| 41 72 69 61 6c 01 18 00 | 00 00 3b 00 00 00 01 02 |Arial...|..;.....|
|00001320| 00 00 00 01 23 00 00 00 | 00 3e 00 00 00 02 1b 01 |....#...|.>......|
|00001330| 00 00 04 e5 fe ff ff 07 | b4 00 00 00 0a 00 00 00 |........|........|
|00001340| 00 17 1b 01 00 00 01 17 | d0 02 00 00 01 17 a0 05 |........|........|
|00001350| 00 00 01 17 70 08 00 00 | 01 17 40 0b 00 00 01 17 |....p...|..@.....|
|00001360| 10 0e 00 00 01 17 e0 10 | 00 00 01 03 00 00 00 22 |........|......."|
|00001370| 00 00 00 01 20 00 00 00 | 00 0f 00 00 00 07 b4 00 |.... ...|........|
|00001380| 00 00 0a 00 00 00 00 16 | d0 02 00 00 03 00 00 00 |........|........|
|00001390| 1e 00 00 00 01 1a 00 00 | 00 00 0f 00 00 00 07 b4 |........|........|
|000013a0| 00 00 00 0a 00 00 00 00 | 16 d0 02 00 00 03 00 00 |........|........|
|000013b0| 00 60 00 00 00 01 10 00 | 00 00 00 0f 00 00 00 07 |.`......|........|
|000013c0| b4 00 00 00 0a 00 00 00 | 00 16 d0 02 00 00 03 00 |........|........|
|000013d0| 00 00 1e 00 00 00 01 1d | 00 00 00 01 0b 00 00 00 |........|........|
|000013e0| 00 0f 00 00 00 07 b4 00 | 00 00 0a 00 00 00 00 16 |........|........|
|000013f0| d0 02 00 00 03 00 00 00 | 36 00 00 00 01 1d 00 00 |........|6.......|
|00001400| 00 00 0f 00 00 00 07 b4 | 00 00 00 0a 00 00 00 00 |........|........|
|00001410| 16 d0 02 00 00 03 00 00 | 00 26 00 00 00 01 02 00 |........|.&......|
|00001420| 00 00 01 10 00 00 00 02 | 32 00 00 00 01 10 00 00 |........|2.......|
|00001430| 00 01 05 00 00 00 01 0e | 00 00 00 01 02 00 00 00 |........|........|
|00001440| 02 0c 00 00 00 00 0f 00 | 00 00 07 b4 00 00 00 0a |........|........|
|00001450| 00 00 00 00 16 d0 02 00 | 00 02 00 00 00 4c 00 00 |........|.....L..|
|00001460| 00 00 00 00 00 00 02 00 | 00 00 16 00 00 00 00 03 |........|........|
|00001470| 00 00 00 13 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|00001480| 1f 02 22 06 41 72 69 61 | 6c 01 00 05 00 00 00 13 |..".Aria|l.......|
|00001490| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1e 01 22 06 |........|......".|
|000014a0| 41 72 69 61 6c 01 00 1b | 00 00 00 11 00 00 00 1a |Arial...|........|
|000014b0| ff ff ff 1c 18 01 00 00 | 22 06 41 72 69 61 6c 01 |........|".Arial.|
|000014c0| 00 02 00 00 00 13 00 00 | 00 1a ff ff ff 1c 18 01 |........|........|
|000014d0| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 0f 00 00 |....".Ar|ial.....|
|000014e0| 00 15 00 00 00 1a ff ff | ff 1c 18 01 00 00 1e 01 |........|........|
|000014f0| 1f 02 22 06 41 72 69 61 | 6c 01 00 0f 00 00 00 13 |..".Aria|l.......|
|00001500| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1f 02 22 06 |........|......".|
|00001510| 41 72 69 61 6c 01 00 02 | 00 00 00 13 00 00 00 1a |Arial...|........|
|00001520| ff ff ff 1c 18 01 00 00 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|00001530| 6c 01 00 15 00 00 00 15 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00001540| 18 01 00 00 1e 01 1f 02 | 22 06 41 72 69 61 6c 01 |........|".Arial.|
|00001550| 00 03 00 00 00 13 00 00 | 00 1a ff ff ff 1c 18 01 |........|........|
|00001560| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 02 00 00 |....".Ar|ial.....|
|00001570| 00 13 00 00 00 1a ff ff | ff 1c 18 01 00 00 1f 02 |........|........|
|00001580| 22 06 41 72 69 61 6c 01 | 00 0b 00 00 00 15 00 00 |".Arial.|........|
|00001590| 00 1a ff ff ff 1c 18 01 | 00 00 1e 01 1f 02 22 06 |........|......".|
|000015a0| 41 72 69 61 6c 01 00 03 | 00 00 00 13 00 00 00 1a |Arial...|........|
|000015b0| ff ff ff 1c 18 01 00 00 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|000015c0| 6c 01 00 02 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|000015d0| 18 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 04 |......".|Arial...|
|000015e0| 00 00 00 15 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|000015f0| 1e 01 1f 02 22 06 41 72 | 69 61 6c 01 00 05 00 00 |....".Ar|ial.....|
|00001600| 00 13 00 00 00 1a ff ff | ff 1c 18 01 00 00 1f 02 |........|........|
|00001610| 22 06 41 72 69 61 6c 01 | 00 02 00 00 00 13 00 00 |".Arial.|........|
|00001620| 00 1a ff ff ff 1c 18 01 | 00 00 1f 02 22 06 41 72 |........|....".Ar|
|00001630| 69 61 6c 01 00 18 00 00 | 00 15 00 00 00 1a ff ff |ial.....|........|
|00001640| ff 1c 18 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|00001650| 6c 01 00 03 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00001660| 18 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 0a |......".|Arial...|
|00001670| 00 00 00 15 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|00001680| 1e 01 1f 02 22 06 41 72 | 69 61 6c 01 00 02 00 00 |....".Ar|ial.....|
|00001690| 00 13 00 00 00 1a ff ff | ff 1c 18 01 00 00 1f 02 |........|........|
|000016a0| 22 06 41 72 69 61 6c 01 | 00 4b 00 00 00 13 00 00 |".Arial.|.K......|
|000016b0| 00 1a ff ff ff 1c 18 01 | 00 00 1f 02 22 06 41 72 |........|....".Ar|
|000016c0| 69 61 6c 01 00 01 00 00 | 00 00 00 00 00 60 41 04 |ial.....|.....`A.|
|000016d0| 00 00 00 00 00 01 01 00 | 00 00 0f 00 00 00 07 b4 |........|........|
|000016e0| 00 00 00 0a 00 00 00 00 | 16 d0 02 00 00 13 00 00 |........|........|
|000016f0| 00 1a ff ff ff 1c 40 01 | 00 00 1f 02 22 06 41 72 |......@.|....".Ar|
|00001700| 69 61 6c 01 21 00 00 00 | 24 01 00 00 01 02 00 00 |ial.!...|$.......|
|00001710| 00 01 24 00 00 00 01 23 | 00 00 00 01 2d 00 00 00 |..$....#|....-...|
|00001720| 01 02 00 00 00 01 62 00 | 00 00 01 02 00 00 00 01 |......b.|........|
|00001730| 15 00 00 00 00 0f 00 00 | 00 07 b4 00 00 00 0a 00 |........|........|
|00001740| 00 00 00 16 d0 02 00 00 | 02 00 00 00 02 00 00 00 |........|........|
|00001750| 01 52 00 00 00 01 6d 00 | 00 00 01 37 00 00 00 01 |.R....m.|...7....|
|00001760| 1d 00 00 00 01 16 00 00 | 00 01 2e 00 00 00 01 5c |........|.......\|
|00001770| 00 00 00 01 3f 01 00 00 | 01 02 00 00 00 01 ef 00 |....?...|........|
|00001780| 00 00 01 02 00 00 00 01 | d5 00 00 00 01 02 00 00 |........|........|
|00001790| 00 01 4b 01 00 00 01 02 | 00 00 00 01 02 00 00 00 |..K.....|........|
|000017a0| 01 02 00 00 00 01 02 00 | 00 00 01 92 02 00 00 01 |........|........|
|000017b0| 02 00 00 00 01 c1 00 00 | 00 01 02 00 00 00 01 66 |........|.......f|
|000017c0| 00 00 00 00 00 00 00 00 | 02 00 00 00 04 00 00 00 |........|........|
|000017d0| 00 13 00 00 00 15 00 00 | 00 1a ff ff ff 1c 40 01 |........|......@.|
|000017e0| 00 00 1e 01 1f 02 22 06 | 41 72 69 61 6c 01 00 02 |......".|Arial...|
|000017f0| 00 00 00 13 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|00001800| 1f 02 22 06 41 72 69 61 | 6c 01 00 65 00 00 00 13 |..".Aria|l..e....|
|00001810| 00 00 00 1a ff ff ff 1c | 40 01 00 00 1f 02 22 06 |........|@.....".|
|00001820| 41 72 69 61 6c 01 00 01 | 00 00 00 00 00 00 00 06 |Arial...|........|
|00001830| 40 00 00 00 00 00 00 b0 | 40 69 00 00 10 00 01 00 |@.......|@i......|
|00001840| 00 00 02 1a 54 61 62 6c | 65 31 1c 1a 43 6f 6c 41 |....Tabl|e1..ColA|
|00001850| 31 32 0b 00 32 1a 43 6f | 6c 42 31 32 10 00 1a 43 |12..2.Co|lB12...C|
|00001860| 6f 6c 41 31 33 0b 00 32 | 1a 43 6f 6c 42 31 33 10 |olA13..2|.ColB13.|
|00001870| 00 1a 43 6f 6c 41 31 34 | 0b 00 c8 1a 43 6f 6c 42 |..ColA14|....ColB|
|00001880| 31 34 10 00 1a 43 6f 6c | 41 31 35 0e 00 1a 43 6f |14...Col|A15...Co|
|00001890| 6c 42 31 35 10 00 1a 43 | 6f 6c 41 31 36 0e 00 1a |lB15...C|olA16...|
|000018a0| 43 6f 6c 42 31 36 10 00 | 1a 43 6f 6c 41 31 37 0e |ColB16..|.ColA17.|
|000018b0| 00 1a 43 6f 6c 42 31 37 | 10 00 1a 43 6f 6c 41 31 |..ColB17|...ColA1|
|000018c0| 38 0e 00 1a 43 6f 6c 42 | 31 38 10 00 20 04 00 00 |8...ColB|18.. ...|
|000018d0| 00 02 1a 49 6e 64 65 78 | 31 01 00 02 1a 43 6f 6c |...Index|1....Col|
|000018e0| 41 31 32 01 00 8b 00 00 | 00 0e 40 c0 08 00 00 e0 |A12.....|..@.....|
|000018f0| 08 00 00 02 80 00 00 00 | 00 05 00 62 65 72 29 06 |........|...ber).|
|00001900| 69 51 04 00 00 00 00 00 | 03 01 00 00 00 0f 00 00 |iQ......|........|
|00001910| 00 07 b4 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00001920| 15 00 00 00 1a ff ff ff | 20 01 1c 40 01 00 00 1f |........| ..@....|
|00001930| 02 22 06 41 72 69 61 6c | 01 02 00 00 00 0f 00 00 |.".Arial|........|
|00001940| 00 07 b4 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00001950| 13 00 00 00 1a ff ff ff | 1c 40 01 00 00 1f 02 22 |........|.@....."|
|00001960| 06 41 72 69 61 6c 01 03 | 00 00 00 0f 00 00 00 07 |.Arial..|........|
|00001970| b4 00 00 00 0a 00 00 00 | 00 16 d0 02 00 00 15 00 |........|........|
|00001980| 00 00 1a ff ff ff 1c 40 | 01 00 00 1e 01 1f 02 22 |.......@|......."|
|00001990| 06 41 72 69 61 6c 01 44 | 00 00 00 12 00 00 00 00 |.Arial.D|........|
|000019a0| 0f 00 00 00 07 b4 00 00 | 00 0a 00 00 00 00 16 d0 |........|........|
|000019b0| 02 00 00 02 00 00 00 db | 00 00 00 02 02 00 00 00 |........|........|
|000019c0| 03 0a 00 00 00 03 3b 00 | 00 00 00 46 00 00 00 07 |......;.|...F....|
|000019d0| b4 00 00 00 0a 00 00 00 | 00 17 68 01 00 00 01 17 |........|..h.....|
|000019e0| d0 02 00 00 01 17 a0 05 | 00 00 01 17 70 08 00 00 |........|....p...|
|000019f0| 01 17 40 0b 00 00 01 17 | 10 0e 00 00 01 17 e0 10 |..@.....|........|
|00001a00| 00 00 01 15 10 40 01 00 | 00 95 01 00 00 00 06 41 |.....@..|.......A|
|00001a10| 72 69 61 6c 00 02 00 00 | 00 59 00 00 00 00 46 00 |rial....|.Y....F.|
|00001a20| 00 00 07 b4 00 00 00 0a | 00 00 00 00 17 68 01 00 |........|.....h..|
|00001a30| 00 01 17 d0 02 00 00 01 | 17 a0 05 00 00 01 17 70 |........|.......p|
|00001a40| 08 00 00 01 17 40 0b 00 | 00 01 17 10 0e 00 00 01 |.....@..|........|
|00001a50| 17 e0 10 00 00 01 15 10 | 40 01 00 00 95 01 00 00 |........|@.......|
|00001a60| 00 06 41 72 69 61 6c 00 | 02 00 00 00 02 00 00 00 |..Arial.|........|
|00001a70| 03 07 00 00 00 03 0e 00 | 00 00 00 46 00 00 00 07 |........|...F....|
|00001a80| b4 00 00 00 0a 00 00 00 | 00 17 68 01 00 00 01 17 |........|..h.....|
|00001a90| d0 02 00 00 01 17 a0 05 | 00 00 01 17 70 08 00 00 |........|....p...|
|00001aa0| 01 17 40 0b 00 00 01 17 | 10 0e 00 00 01 17 e0 10 |..@.....|........|
|00001ab0| 00 00 01 15 10 40 01 00 | 00 95 01 00 00 00 06 41 |.....@..|.......A|
|00001ac0| 72 69 61 6c 00 03 00 00 | 00 0e 00 00 00 00 46 00 |rial....|......F.|
|00001ad0| 00 00 07 b4 00 00 00 0a | 00 00 00 00 17 68 01 00 |........|.....h..|
|00001ae0| 00 01 17 d0 02 00 00 01 | 17 a0 05 00 00 01 17 70 |........|.......p|
|00001af0| 08 00 00 01 17 40 0b 00 | 00 01 17 10 0e 00 00 01 |.....@..|........|
|00001b00| 17 e0 10 00 00 01 15 10 | 40 01 00 00 95 01 00 00 |........|@.......|
|00001b10| 00 06 41 72 69 61 6c 00 | 03 00 00 00 0f 00 00 00 |..Arial.|........|
|00001b20| 00 46 00 00 00 07 b4 00 | 00 00 0a 00 00 00 00 17 |.F......|........|
|00001b30| 68 01 00 00 01 17 d0 02 | 00 00 01 17 a0 05 00 00 |h.......|........|
|00001b40| 01 17 70 08 00 00 01 17 | 40 0b 00 00 01 17 10 0e |..p.....|@.......|
|00001b50| 00 00 01 17 e0 10 00 00 | 01 15 10 40 01 00 00 95 |........|...@....|
|00001b60| 01 00 00 00 06 41 72 69 | 61 6c 00 03 00 00 00 1e |.....Ari|al......|
|00001b70| 00 00 00 00 46 00 00 00 | 07 b4 00 00 00 0a 00 00 |....F...|........|
|00001b80| 00 00 17 68 01 00 00 01 | 17 d0 02 00 00 01 17 a0 |...h....|........|
|00001b90| 05 00 00 01 17 70 08 00 | 00 01 17 40 0b 00 00 01 |.....p..|...@....|
|00001ba0| 17 10 0e 00 00 01 17 e0 | 10 00 00 01 15 10 40 01 |........|......@.|
|00001bb0| 00 00 95 01 00 00 00 06 | 41 72 69 61 6c 00 02 00 |........|Arial...|
|00001bc0| 00 00 32 00 00 00 00 21 | 00 00 00 07 b4 00 00 00 |..2....!|........|
|00001bd0| 0a 00 00 00 00 16 d0 02 | 00 00 15 10 40 01 00 00 |........|....@...|
|00001be0| 95 00 00 00 00 06 41 72 | 69 61 6c 00 02 00 00 00 |......Ar|ial.....|
|00001bf0| 35 00 00 00 00 21 00 00 | 00 07 b4 00 00 00 0a 00 |5....!..|........|
|00001c00| 00 00 00 16 d0 02 00 00 | 15 10 40 01 00 00 95 00 |........|..@.....|
|00001c10| 00 00 00 06 41 72 69 61 | 6c 00 02 00 00 00 2c 00 |....Aria|l.....,.|
|00001c20| 00 00 00 21 00 00 00 07 | b4 00 00 00 0a 00 00 00 |...!....|........|
|00001c30| 00 16 d0 02 00 00 15 10 | 40 01 00 00 95 00 00 00 |........|@.......|
|00001c40| 00 06 41 72 69 61 6c 00 | 02 00 00 00 22 00 00 00 |..Arial.|...."...|
|00001c50| 00 21 00 00 00 07 b4 00 | 00 00 0a 00 00 00 00 16 |.!......|........|
|00001c60| d0 02 00 00 15 10 40 01 | 00 00 95 00 00 00 00 06 |......@.|........|
|00001c70| 41 72 69 61 6c 00 02 00 | 00 00 34 00 00 00 00 46 |Arial...|..4....F|
|00001c80| 00 00 00 07 b4 00 00 00 | 0a 00 00 00 00 17 68 01 |........|......h.|
|00001c90| 00 00 01 17 d0 02 00 00 | 01 17 a0 05 00 00 01 17 |........|........|
|00001ca0| 70 08 00 00 01 17 40 0b | 00 00 01 17 10 0e 00 00 |p.....@.|........|
|00001cb0| 01 17 e0 10 00 00 01 15 | 10 40 01 00 00 95 01 00 |........|.@......|
|00001cc0| 00 00 06 41 72 69 61 6c | 00 02 00 00 00 34 00 00 |...Arial|.....4..|
|00001cd0| 00 00 21 00 00 00 07 b4 | 00 00 00 0a 00 00 00 00 |..!.....|........|
|00001ce0| 16 d0 02 00 00 15 10 40 | 01 00 00 95 00 00 00 00 |.......@|........|
|00001cf0| 06 41 72 69 61 6c 00 02 | 00 00 00 32 00 00 00 00 |.Arial..|...2....|
|00001d00| 46 00 00 00 07 b4 00 00 | 00 0a 00 00 00 00 17 68 |F.......|.......h|
|00001d10| 01 00 00 01 17 d0 02 00 | 00 01 17 a0 05 00 00 01 |........|........|
|00001d20| 17 70 08 00 00 01 17 40 | 0b 00 00 01 17 10 0e 00 |.p.....@|........|
|00001d30| 00 01 17 e0 10 00 00 01 | 15 10 40 01 00 00 95 01 |........|..@.....|
|00001d40| 00 00 00 06 41 72 69 61 | 6c 00 02 00 00 00 02 00 |....Aria|l.......|
|00001d50| 00 00 02 09 00 00 00 02 | 3f 00 00 00 02 53 00 00 |........|?....S..|
|00001d60| 00 02 02 00 00 00 02 02 | 00 00 00 03 02 00 00 00 |........|........|
|00001d70| 03 02 00 00 00 03 12 00 | 00 00 03 1d 00 00 00 02 |........|........|
|00001d80| 10 00 00 00 02 13 00 00 | 00 02 1f 00 00 00 02 17 |........|........|
|00001d90| 00 00 00 00 0f 00 00 00 | 07 b4 00 00 00 0a 00 00 |........|........|
|00001da0| 00 00 16 d0 02 00 00 02 | 00 00 00 09 00 00 00 02 |........|........|
|00001db0| 12 00 00 00 02 13 00 00 | 00 02 02 00 00 00 02 1c |........|........|
|00001dc0| 00 00 00 00 0f 00 00 00 | 07 b4 00 00 00 0a 00 00 |........|........|
|00001dd0| 00 00 16 d0 02 00 00 03 | 00 00 00 1d 00 00 00 00 |........|........|
|00001de0| 50 00 00 00 02 1b 01 00 | 00 04 e5 fe ff ff 07 b4 |P.......|........|
|00001df0| 00 00 00 0a 00 00 00 00 | 17 1b 01 00 00 01 17 d0 |........|........|
|00001e00| 02 00 00 01 17 a0 05 00 | 00 01 17 70 08 00 00 01 |........|...p....|
|00001e10| 17 40 0b 00 00 01 17 10 | 0e 00 00 01 17 e0 10 00 |.@......|........|
|00001e20| 00 01 15 10 40 01 00 00 | 95 00 00 00 00 06 41 72 |....@...|......Ar|
|00001e30| 69 61 6c 00 02 00 00 00 | 19 00 00 00 00 50 00 00 |ial.....|.....P..|
|00001e40| 00 02 1b 01 00 00 04 e5 | fe ff ff 07 b4 00 00 00 |........|........|
|00001e50| 0a 00 00 00 00 17 1b 01 | 00 00 01 17 d0 02 00 00 |........|........|
|00001e60| 01 17 a0 05 00 00 01 17 | 70 08 00 00 01 17 40 0b |........|p.....@.|
|00001e70| 00 00 01 17 10 0e 00 00 | 01 17 e0 10 00 00 01 15 |........|........|
|00001e80| 10 40 01 00 00 95 00 00 | 00 00 06 41 72 69 61 6c |.@......|...Arial|
|00001e90| 00 02 00 00 00 08 00 00 | 00 00 50 00 00 00 02 1b |........|..P.....|
|00001ea0| 01 00 00 04 e5 fe ff ff | 07 b4 00 00 00 0a 00 00 |........|........|
|00001eb0| 00 00 17 1b 01 00 00 01 | 17 d0 02 00 00 01 17 a0 |........|........|
|00001ec0| 05 00 00 01 17 70 08 00 | 00 01 17 40 0b 00 00 01 |.....p..|...@....|
|00001ed0| 17 10 0e 00 00 01 17 e0 | 10 00 00 01 15 10 40 01 |........|......@.|
|00001ee0| 00 00 95 00 00 00 00 06 | 41 72 69 61 6c 00 02 00 |........|Arial...|
|00001ef0| 00 00 0e 00 00 00 00 50 | 00 00 00 02 1b 01 00 00 |.......P|........|
|00001f00| 04 e5 fe ff ff 07 b4 00 | 00 00 0a 00 00 00 00 17 |........|........|
|00001f10| 1b 01 00 00 01 17 d0 02 | 00 00 01 17 a0 05 00 00 |........|........|
|00001f20| 01 17 70 08 00 00 01 17 | 40 0b 00 00 01 17 10 0e |..p.....|@.......|
|00001f30| 00 00 01 17 e0 10 00 00 | 01 15 10 40 01 00 00 95 |........|...@....|
|00001f40| 00 00 00 00 06 41 72 69 | 61 6c 00 02 00 00 00 2e |.....Ari|al......|
|00001f50| 00 00 00 00 21 00 00 00 | 07 b4 00 00 00 0a 00 00 |....!...|........|
|00001f60| 00 00 16 d0 02 00 00 15 | 10 40 01 00 00 95 00 00 |........|.@......|
|00001f70| 00 00 06 41 72 69 61 6c | 00 02 00 00 00 02 00 00 |...Arial|........|
|00001f80| 00 01 25 00 00 00 00 0f | 00 00 00 07 b4 00 00 00 |..%.....|........|
|00001f90| 0a 00 00 00 00 16 d0 02 | 00 00 04 00 00 00 1b 00 |........|........|
|00001fa0| 00 00 00 50 00 00 00 02 | 1b 01 00 00 04 e5 fe ff |...P....|........|
|00001fb0| ff 07 b4 00 00 00 0a 00 | 00 00 00 17 1b 01 00 00 |........|........|
|00001fc0| 01 17 d0 02 00 00 01 17 | a0 05 00 00 01 17 70 08 |........|......p.|
|00001fd0| 00 00 01 17 40 0b 00 00 | 01 17 10 0e 00 00 01 17 |....@...|........|
|00001fe0| e0 10 00 00 01 15 10 40 | 01 00 00 95 00 00 00 00 |.......@|........|
|00001ff0| 06 41 72 69 61 6c 00 02 | 00 00 00 0d 00 00 00 00 |.Arial..|........|
|00002000| 50 00 00 00 02 1b 01 00 | 00 04 e5 fe ff ff 07 b4 |P.......|........|
|00002010| 00 00 00 0a 00 00 00 00 | 17 1b 01 00 00 01 17 d0 |........|........|
|00002020| 02 00 00 01 17 a0 05 00 | 00 01 17 70 08 00 00 01 |........|...p....|
|00002030| 17 40 0b 00 00 01 17 10 | 0e 00 00 01 17 e0 10 00 |.@......|........|
|00002040| 00 01 15 10 40 01 00 00 | 95 00 00 00 00 06 41 72 |....@...|......Ar|
|00002050| 69 61 6c 00 02 00 00 00 | 0d 00 00 00 00 50 00 00 |ial.....|.....P..|
|00002060| 00 02 1b 01 00 00 04 e5 | fe ff ff 07 b4 00 00 00 |........|........|
|00002070| 0a 00 00 00 00 17 1b 01 | 00 00 01 17 d0 02 00 00 |........|........|
|00002080| 01 17 a0 05 00 00 01 17 | 70 08 00 00 01 17 40 0b |........|p.....@.|
|00002090| 00 00 01 17 10 0e 00 00 | 01 17 e0 10 00 00 01 15 |........|........|
|000020a0| 10 40 01 00 00 95 00 00 | 00 00 06 41 72 69 61 6c |.@......|...Arial|
|000020b0| 00 02 00 00 00 23 00 00 | 00 00 50 00 00 00 02 1b |.....#..|..P.....|
|000020c0| 01 00 00 04 e5 fe ff ff | 07 b4 00 00 00 0a 00 00 |........|........|
|000020d0| 00 00 17 1b 01 00 00 01 | 17 d0 02 00 00 01 17 a0 |........|........|
|000020e0| 05 00 00 01 17 70 08 00 | 00 01 17 40 0b 00 00 01 |.....p..|...@....|
|000020f0| 17 10 0e 00 00 01 17 e0 | 10 00 00 01 15 10 40 01 |........|......@.|
|00002100| 00 00 95 00 00 00 00 06 | 41 72 69 61 6c 00 02 00 |........|Arial...|
|00002110| 00 00 02 00 00 00 03 10 | 00 00 00 03 16 00 00 00 |........|........|
|00002120| 02 16 00 00 00 02 2a 00 | 00 00 02 18 00 00 00 02 |......*.|........|
|00002130| 3e 00 00 00 02 02 00 00 | 00 02 02 00 00 00 03 02 |>.......|........|
|00002140| 00 00 00 03 02 00 00 00 | 03 30 00 00 00 00 0f 00 |........|.0......|
|00002150| 00 00 07 b4 00 00 00 0a | 00 00 00 00 16 d0 02 00 |........|........|
|00002160| 00 02 00 00 00 02 00 00 | 00 02 15 00 00 00 02 2d |........|.......-|
|00002170| 00 00 00 00 50 00 00 00 | 02 1b 01 00 00 04 e5 fe |....P...|........|
|00002180| ff ff 07 b4 00 00 00 0a | 00 00 00 00 17 1b 01 00 |........|........|
|00002190| 00 01 17 d0 02 00 00 01 | 17 a0 05 00 00 01 17 70 |........|.......p|
|000021a0| 08 00 00 01 17 40 0b 00 | 00 01 17 10 0e 00 00 01 |.....@..|........|
|000021b0| 17 e0 10 00 00 01 15 10 | 40 01 00 00 95 00 00 00 |........|@.......|
|000021c0| 00 06 41 72 69 61 6c 00 | 02 00 00 00 21 00 00 00 |..Arial.|....!...|
|000021d0| 00 50 00 00 00 02 1b 01 | 00 00 04 e5 fe ff ff 07 |.P......|........|
|000021e0| b4 00 00 00 0a 00 00 00 | 00 17 1b 01 00 00 01 17 |........|........|
|000021f0| d0 02 00 00 01 17 a0 05 | 00 00 01 17 70 08 00 00 |........|....p...|
|00002200| 01 17 40 0b 00 00 01 17 | 10 0e 00 00 01 17 e0 10 |..@.....|........|
|00002210| 00 00 01 15 10 40 01 00 | 00 95 00 00 00 00 06 41 |.....@..|.......A|
|00002220| 72 69 61 6c 00 02 00 00 | 00 14 00 00 00 00 50 00 |rial....|......P.|
|00002230| 00 00 02 1b 01 00 00 04 | e5 fe ff ff 07 b4 00 00 |........|........|
|00002240| 00 0a 00 00 00 00 17 1b | 01 00 00 01 17 d0 02 00 |........|........|
|00002250| 00 01 17 a0 05 00 00 01 | 17 70 08 00 00 01 17 40 |........|.p.....@|
|00002260| 0b 00 00 01 17 10 0e 00 | 00 01 17 e0 10 00 00 01 |........|........|
|00002270| 15 10 40 01 00 00 95 00 | 00 00 00 06 41 72 69 61 |..@.....|....Aria|
|00002280| 6c 00 02 00 00 00 1d 00 | 00 00 00 50 00 00 00 02 |l.......|...P....|
|00002290| 1b 01 00 00 04 e5 fe ff | ff 07 b4 00 00 00 0a 00 |........|........|
|000022a0| 00 00 00 17 1b 01 00 00 | 01 17 d0 02 00 00 01 17 |........|........|
|000022b0| a0 05 00 00 01 17 70 08 | 00 00 01 17 40 0b 00 00 |......p.|....@...|
|000022c0| 01 17 10 0e 00 00 01 17 | e0 10 00 00 01 15 10 40 |........|.......@|
|000022d0| 01 00 00 95 00 00 00 00 | 06 41 72 69 61 6c 00 02 |........|.Arial..|
|000022e0| 00 00 00 29 00 00 00 00 | 00 00 00 00 02 00 00 00 |...)....|........|
|000022f0| 46 00 00 00 00 0e 00 00 | 00 15 00 00 00 1a ff ff |F.......|........|
|00002300| ff 1c 68 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |..h.....|..".Aria|
|00002310| 6c 01 00 04 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00002320| 40 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 01 |@.....".|Arial...|
|00002330| 00 00 00 13 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|00002340| 1f 02 22 06 41 72 69 61 | 6c 01 00 3a 00 00 00 11 |..".Aria|l..:....|
|00002350| 00 00 00 1a ff ff ff 1c | 40 01 00 00 22 06 41 72 |........|@...".Ar|
|00002360| 69 61 6c 01 00 01 00 00 | 00 13 00 00 00 1a ff ff |ial.....|........|
|00002370| ff 1c 40 01 00 00 1f 02 | 22 06 41 72 69 61 6c 01 |..@.....|".Arial.|
|00002380| 00 58 00 00 00 11 00 00 | 00 1a ff ff ff 1c 40 01 |.X......|......@.|
|00002390| 00 00 22 06 41 72 69 61 | 6c 01 00 01 00 00 00 13 |..".Aria|l.......|
|000023a0| 00 00 00 1a ff ff ff 1c | 40 01 00 00 1f 02 22 06 |........|@.....".|
|000023b0| 41 72 69 61 6c 01 00 0b | 00 00 00 13 00 00 00 1a |Arial...|........|
|000023c0| ff ff ff 1c 40 01 00 00 | 1e 01 22 06 41 72 69 61 |....@...|..".Aria|
|000023d0| 6c 01 00 02 00 00 00 11 | 00 00 00 1a ff ff ff 1c |l.......|........|
|000023e0| 40 01 00 00 22 06 41 72 | 69 61 6c 01 00 01 00 00 |@...".Ar|ial.....|
|000023f0| 00 13 00 00 00 1a ff ff | ff 1c 40 01 00 00 1f 02 |........|..@.....|
|00002400| 22 06 41 72 69 61 6c 01 | 00 0b 00 00 00 13 00 00 |".Arial.|........|
|00002410| 00 1a ff ff ff 1c 40 01 | 00 00 1e 01 22 06 41 72 |......@.|....".Ar|
|00002420| 69 61 6c 01 00 02 00 00 | 00 11 00 00 00 1a ff ff |ial.....|........|
|00002430| ff 1c 40 01 00 00 22 06 | 41 72 69 61 6c 01 00 01 |..@...".|Arial...|
|00002440| 00 00 00 13 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|00002450| 1f 02 22 06 41 72 69 61 | 6c 01 00 0c 00 00 00 13 |..".Aria|l.......|
|00002460| 00 00 00 1a ff ff ff 1c | 40 01 00 00 1e 01 22 06 |........|@.....".|
|00002470| 41 72 69 61 6c 01 00 02 | 00 00 00 11 00 00 00 1a |Arial...|........|
|00002480| ff ff ff 1c 40 01 00 00 | 22 06 41 72 69 61 6c 01 |....@...|".Arial.|
|00002490| 00 01 00 00 00 13 00 00 | 00 1a ff ff ff 1c 40 01 |........|......@.|
|000024a0| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 1d 00 00 |....".Ar|ial.....|
|000024b0| 00 11 00 00 00 1a ff ff | ff 1c 40 01 00 00 22 06 |........|..@...".|
|000024c0| 41 72 69 61 6c 01 00 01 | 00 00 00 13 00 00 00 1a |Arial...|........|
|000024d0| ff ff ff 1c 40 01 00 00 | 1f 02 22 06 41 72 69 61 |....@...|..".Aria|
|000024e0| 6c 01 00 31 00 00 00 11 | 00 00 00 1a ff ff ff 1c |l..1....|........|
|000024f0| 40 01 00 00 22 06 41 72 | 69 61 6c 01 00 01 00 00 |@...".Ar|ial.....|
|00002500| 00 13 00 00 00 1a ff ff | ff 1c 40 01 00 00 1f 02 |........|..@.....|
|00002510| 22 06 41 72 69 61 6c 01 | 00 34 00 00 00 11 00 00 |".Arial.|.4......|
|00002520| 00 1a ff ff ff 1c 40 01 | 00 00 22 06 41 72 69 61 |......@.|..".Aria|
|00002530| 6c 01 00 01 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00002540| 40 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 2b |@.....".|Arial..+|
|00002550| 00 00 00 11 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|00002560| 22 06 41 72 69 61 6c 01 | 00 01 00 00 00 13 00 00 |".Arial.|........|
|00002570| 00 1a ff ff ff 1c 40 01 | 00 00 1f 02 22 06 41 72 |......@.|....".Ar|
|00002580| 69 61 6c 01 00 21 00 00 | 00 11 00 00 00 1a ff ff |ial..!..|........|
|00002590| ff 1c 40 01 00 00 22 06 | 41 72 69 61 6c 01 00 01 |..@...".|Arial...|
|000025a0| 00 00 00 13 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|000025b0| 1f 02 22 06 41 72 69 61 | 6c 01 00 33 00 00 00 11 |..".Aria|l..3....|
|000025c0| 00 00 00 1a ff ff ff 1c | 40 01 00 00 22 06 41 72 |........|@...".Ar|
|000025d0| 69 61 6c 01 00 01 00 00 | 00 13 00 00 00 1a ff ff |ial.....|........|
|000025e0| ff 1c 40 01 00 00 1f 02 | 22 06 41 72 69 61 6c 01 |..@.....|".Arial.|
|000025f0| 00 33 00 00 00 11 00 00 | 00 1a ff ff ff 1c 40 01 |.3......|......@.|
|00002600| 00 00 22 06 41 72 69 61 | 6c 01 00 01 00 00 00 13 |..".Aria|l.......|
|00002610| 00 00 00 1a ff ff ff 1c | 40 01 00 00 1f 02 22 06 |........|@.....".|
|00002620| 41 72 69 61 6c 01 00 31 | 00 00 00 11 00 00 00 1a |Arial..1|........|
|00002630| ff ff ff 1c 40 01 00 00 | 22 06 41 72 69 61 6c 01 |....@...|".Arial.|
|00002640| 00 15 00 00 00 13 00 00 | 00 1a ff ff ff 1c 40 01 |........|......@.|
|00002650| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 02 00 00 |....".Ar|ial.....|
|00002660| 00 15 00 00 00 1a ff ff | ff 1c 40 01 00 00 1e 01 |........|..@.....|
|00002670| 1f 02 22 06 41 72 69 61 | 6c 01 00 09 00 00 00 15 |..".Aria|l.......|
|00002680| 00 00 00 1a ff ff ff 20 | 01 1c 40 01 00 00 1f 02 |....... |..@.....|
|00002690| 22 06 41 72 69 61 6c 01 | 00 0b 00 00 00 17 00 00 |".Arial.|........|
|000026a0| 00 1a ff ff ff 20 01 1c | 40 01 00 00 1e 01 1f 02 |..... ..|@.......|
|000026b0| 22 06 41 72 69 61 6c 01 | 00 08 00 00 00 15 00 00 |".Arial.|........|
|000026c0| 00 1a ff ff ff 20 01 1c | 40 01 00 00 1f 02 22 06 |..... ..|@.....".|
|000026d0| 41 72 69 61 6c 01 00 01 | 00 00 00 13 00 00 00 1a |Arial...|........|
|000026e0| ff ff ff 1c 40 01 00 00 | 1f 02 22 06 41 72 69 61 |....@...|..".Aria|
|000026f0| 6c 01 00 1c 00 00 00 11 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00002700| 40 01 00 00 22 06 41 72 | 69 61 6c 01 00 01 00 00 |@...".Ar|ial.....|
|00002710| 00 13 00 00 00 1a ff ff | ff 1c 40 01 00 00 1f 02 |........|..@.....|
|00002720| 22 06 41 72 69 61 6c 01 | 00 18 00 00 00 11 00 00 |".Arial.|........|
|00002730| 00 1a ff ff ff 1c 40 01 | 00 00 22 06 41 72 69 61 |......@.|..".Aria|
|00002740| 6c 01 00 01 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00002750| 40 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 07 |@.....".|Arial...|
|00002760| 00 00 00 11 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|00002770| 22 06 41 72 69 61 6c 01 | 00 01 00 00 00 13 00 00 |".Arial.|........|
|00002780| 00 1a ff ff ff 1c 40 01 | 00 00 1f 02 22 06 41 72 |......@.|....".Ar|
|00002790| 69 61 6c 01 00 0d 00 00 | 00 11 00 00 00 1a ff ff |ial.....|........|
|000027a0| ff 1c 40 01 00 00 22 06 | 41 72 69 61 6c 01 00 01 |..@...".|Arial...|
|000027b0| 00 00 00 13 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|000027c0| 1f 02 22 06 41 72 69 61 | 6c 01 00 2d 00 00 00 11 |..".Aria|l..-....|
|000027d0| 00 00 00 1a ff ff ff 1c | 40 01 00 00 22 06 41 72 |........|@...".Ar|
|000027e0| 69 61 6c 01 00 07 00 00 | 00 15 00 00 00 1a ff ff |ial.....|........|
|000027f0| ff 20 01 1c 40 01 00 00 | 1f 02 22 06 41 72 69 61 |. ..@...|..".Aria|
|00002800| 6c 01 00 18 00 00 00 17 | 00 00 00 1a ff ff ff 20 |l.......|....... |
|00002810| 01 1c 40 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |..@.....|..".Aria|
|00002820| 6c 01 00 04 00 00 00 15 | 00 00 00 1a ff ff ff 20 |l.......|....... |
|00002830| 01 1c 40 01 00 00 1f 02 | 22 06 41 72 69 61 6c 01 |..@.....|".Arial.|
|00002840| 00 02 00 00 00 13 00 00 | 00 1a ff ff ff 1c 40 01 |........|......@.|
|00002850| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 01 00 00 |....".Ar|ial.....|
|00002860| 00 13 00 00 00 1a ff ff | ff 1c 40 01 00 00 1f 02 |........|..@.....|
|00002870| 22 06 41 72 69 61 6c 01 | 00 1a 00 00 00 11 00 00 |".Arial.|........|
|00002880| 00 1a ff ff ff 1c 40 01 | 00 00 22 06 41 72 69 61 |......@.|..".Aria|
|00002890| 6c 01 00 01 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|000028a0| 40 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 0c |@.....".|Arial...|
|000028b0| 00 00 00 11 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|000028c0| 22 06 41 72 69 61 6c 01 | 00 01 00 00 00 13 00 00 |".Arial.|........|
|000028d0| 00 1a ff ff ff 1c 40 01 | 00 00 1f 02 22 06 41 72 |......@.|....".Ar|
|000028e0| 69 61 6c 01 00 0c 00 00 | 00 11 00 00 00 1a ff ff |ial.....|........|
|000028f0| ff 1c 40 01 00 00 22 06 | 41 72 69 61 6c 01 00 01 |..@...".|Arial...|
|00002900| 00 00 00 13 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|00002910| 1f 02 22 06 41 72 69 61 | 6c 01 00 22 00 00 00 11 |..".Aria|l.."....|
|00002920| 00 00 00 1a ff ff ff 1c | 40 01 00 00 22 06 41 72 |........|@...".Ar|
|00002930| 69 61 6c 01 00 0a 00 00 | 00 15 00 00 00 1a ff ff |ial.....|........|
|00002940| ff 1c 40 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |..@.....|..".Aria|
|00002950| 6c 01 00 26 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l..&....|........|
|00002960| 40 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 01 |@.....".|Arial...|
|00002970| 00 00 00 13 00 00 00 1a | ff ff ff 1c 40 01 00 00 |........|....@...|
|00002980| 1f 02 22 06 41 72 69 61 | 6c 01 00 2c 00 00 00 11 |..".Aria|l..,....|
|00002990| 00 00 00 1a ff ff ff 1c | 40 01 00 00 22 06 41 72 |........|@...".Ar|
|000029a0| 69 61 6c 01 00 01 00 00 | 00 13 00 00 00 1a ff ff |ial.....|........|
|000029b0| ff 1c 40 01 00 00 1f 02 | 22 06 41 72 69 61 6c 01 |..@.....|".Arial.|
|000029c0| 00 20 00 00 00 11 00 00 | 00 1a ff ff ff 1c 40 01 |. ......|......@.|
|000029d0| 00 00 22 06 41 72 69 61 | 6c 01 00 01 00 00 00 13 |..".Aria|l.......|
|000029e0| 00 00 00 1a ff ff ff 1c | 40 01 00 00 1f 02 22 06 |........|@.....".|
|000029f0| 41 72 69 61 6c 01 00 13 | 00 00 00 11 00 00 00 1a |Arial...|........|
|00002a00| ff ff ff 1c 40 01 00 00 | 22 06 41 72 69 61 6c 01 |....@...|".Arial.|
|00002a10| 00 01 00 00 00 13 00 00 | 00 1a ff ff ff 1c 40 01 |........|......@.|
|00002a20| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 1c 00 00 |....".Ar|ial.....|
|00002a30| 00 11 00 00 00 1a ff ff | ff 1c 40 01 00 00 22 06 |........|..@...".|
|00002a40| 41 72 69 61 6c 01 00 28 | 00 00 00 13 00 00 00 1a |Arial..(|........|
|00002a50| ff ff ff 1c 40 01 00 00 | 1f 02 22 06 41 72 69 61 |....@...|..".Aria|
|00002a60| 6c 01 00 01 00 00 00 00 | 00 00 00 62 4e 48 65 61 |l.......|...bNHea|
|00002a70| 72 74 20 6d 75 72 6d 75 | 72 73 20 61 72 65 20 6d |rt murmu|rs are m|
|00002a80| 6f 73 74 20 6f 66 74 65 | 6e 20 68 65 61 72 64 20 |ost ofte|n heard |
|00002a90| 20 69 6e 20 63 68 69 6c | 64 72 65 6e 20 61 73 20 | in chil|dren as |
|00002aa0| 20 61 6e 20 20 69 6e 63 | 69 64 65 6e 74 61 6c 20 | an inc|idental |
|00002ab0| 66 69 6e 64 69 6e 67 20 | 6f 6e 20 72 6f 75 74 69 |finding |on routi|
|00002ac0| 6e 65 20 65 78 61 6d 69 | 6e 61 74 69 6f 6e 2e 20 |ne exami|nation. |
|00002ad0| 53 6f 6d 65 20 6f 66 20 | 20 74 68 65 73 65 20 63 |Some of | these c|
|00002ae0| 68 69 6c 64 72 65 6e 20 | 77 69 6c 6c 20 68 61 76 |hildren |will hav|
|00002af0| 65 20 63 6f 6e 67 65 6e | 69 74 61 20 20 68 65 61 |e congen|ita hea|
|00002b00| 72 74 20 64 69 73 65 61 | 73 20 20 62 75 74 2c 20 |rt disea|s but, |
|00002b10| 69 6e 20 20 74 68 65 20 | 6d 61 6a 6f 72 69 74 79 |in the |majority|
|00002b20| 2c 20 74 68 20 20 6d 75 | 72 6d 75 72 20 20 69 73 |, th mu|rmur is|
|00002b30| 20 69 6e 6e 6f 63 65 6e | 74 20 56 65 72 79 20 72 | innocen|t Very r|
|00002b40| 61 72 65 6c 79 2c 20 74 | 68 65 20 63 68 69 6c 64 |arely, t|he child|
|00002b50| 20 6d 61 79 20 68 61 76 | 65 20 69 6e 66 65 63 74 | may hav|e infect|
|00002b60| 69 76 65 20 65 6e 64 6f | 63 61 72 64 69 74 69 73 |ive endo|carditis|
|00002b70| 2e 0d 06 0d 06 20 57 68 | 61 74 20 73 68 6f 75 6c |..... Wh|at shoul|
|00002b80| 64 20 62 65 20 64 6f 6e | 65 20 69 66 20 61 20 6d |d be don|e if a m|
|00002b90| 75 72 6d 75 72 20 69 73 | 20 68 65 61 72 64 3f 0d |urmur is| heard?.|
|00002ba0| 06 31 2e 20 48 69 73 74 | 6f 72 79 0d 06 09 73 68 |.1. Hist|ory...sh|
|00002bb0| 6f 72 74 6e 65 73 73 20 | 6f 66 20 62 72 65 61 74 |ortness |of breat|
|00002bc0| 68 20 6f 72 20 66 65 65 | 64 69 6e 67 20 64 69 66 |h or fee|ding dif|
|00002bd0| 66 69 63 75 6c 74 69 65 | 73 0d 06 09 65 70 69 73 |ficultie|s...epis|
|00002be0| 6f 64 65 73 20 6f 66 20 | 64 75 73 6b 69 6e 65 73 |odes of |duskines|
|00002bf0| 73 20 6f 72 20 70 61 6c | 6c 6f 72 20 6f 72 20 73 |s or pal|lor or s|
|00002c00| 77 65 61 74 69 6e 67 0d | 06 09 66 61 6d 69 6c 79 |weating.|..family|
|00002c10| 20 68 69 73 74 6f 72 79 | 20 6f 66 20 68 65 61 72 | history| of hear|
|00002c20| 74 20 64 69 73 65 61 73 | 65 0d 06 0d 06 32 2e 20 |t diseas|e....2. |
|00002c30| 45 78 61 6d 69 6e 61 74 | 69 6f 6e 0d 06 09 63 79 |Examinat|ion...cy|
|00002c40| 61 6e 6f 73 69 73 20 28 | 63 68 65 63 6b 20 53 61 |anosis (|check Sa|
|00002c50| 4f 32 20 69 66 20 20 6e | 65 63 65 73 73 61 72 79 |O2 if n|ecessary|
|00002c60| 29 0d 06 09 66 61 69 6c | 75 72 65 20 74 6f 20 74 |)...fail|ure to t|
|00002c70| 68 72 69 76 65 20 6f 72 | 20 66 69 6e 67 65 72 20 |hrive or| finger |
|00002c80| 63 6c 75 62 62 69 6e 67 | 09 09 0d 06 09 70 65 72 |clubbing|.....per|
|00002c90| 69 70 68 65 72 61 6c 20 | 70 75 6c 73 65 73 20 61 |ipheral |pulses a|
|00002ca0| 6e 64 20 20 66 65 6d 6f | 72 61 6c 20 70 75 6c 73 |nd femo|ral puls|
|00002cb0| 65 73 20 20 20 20 20 20 | 0d 06 09 70 72 61 65 63 |es |...praec|
|00002cc0| 6f 72 64 69 61 6c 20 68 | 65 61 76 65 73 20 61 6e |ordial h|eaves an|
|00002cd0| 64 20 74 68 72 69 6c 6c | 73 0d 06 09 63 68 61 72 |d thrill|s...char|
|00002ce0| 61 63 74 65 72 20 6f 66 | 20 68 65 61 72 74 20 73 |acter of| heart s|
|00002cf0| 6f 75 6e 64 73 0d 06 09 | 72 61 64 69 61 74 69 6f |ounds...|radiatio|
|00002d00| 6e 20 6f 66 20 6d 75 72 | 6d 75 72 20 61 6e 64 20 |n of mur|mur and |
|00002d10| 20 61 6e 79 20 63 68 61 | 6e 67 65 20 77 69 74 68 | any cha|nge with|
|00002d20| 20 70 6f 73 69 74 69 6f | 6e 0d 06 09 65 76 69 64 | positio|n...evid|
|00002d30| 65 6e 63 65 20 6f 66 20 | 68 65 61 72 74 20 66 61 |ence of |heart fa|
|00002d40| 69 6c 75 72 65 0d 06 09 | 74 65 6d 70 65 72 61 74 |ilure...|temperat|
|00002d50| 75 72 65 2c 73 70 6c 69 | 6e 74 65 72 20 68 61 65 |ure,spli|nter hae|
|00002d60| 6d 6f 72 72 61 67 65 73 | 2c 20 52 6f 74 68 20 73 |morrages|, Roth s|
|00002d70| 70 6f 74 73 2c 20 4f 73 | 6c 65 72 20 6e 6f 64 65 |pots, Os|ler node|
|00002d80| 73 2c 20 4a 61 6e 65 77 | 61 79 20 6c 65 73 69 6f |s, Janew|ay lesio|
|00002d90| 6e 73 2c 20 73 70 6c 65 | 6e 6f 6d 65 67 61 6c 79 |ns, sple|nomegaly|
|00002da0| 2c 20 0d 06 20 20 20 20 | 28 20 61 6c 6c 20 20 73 |, .. |( all s|
|00002db0| 75 67 67 65 73 74 69 76 | 65 20 6f 66 20 69 6e 66 |uggestiv|e of inf|
|00002dc0| 65 63 74 69 76 65 20 65 | 6e 64 6f 63 61 72 64 69 |ective e|ndocardi|
|00002dd0| 74 69 73 20 29 0d 06 0d | 06 49 6e 6e 6f 63 65 6e |tis )...|.Innocen|
|00002de0| 74 20 6d 75 72 6d 75 72 | 09 20 20 20 20 20 20 20 |t murmur|. |
|00002df0| 20 20 20 20 20 20 20 20 | 53 69 67 6e 69 66 69 63 | |Signific|
|00002e00| 61 6e 74 20 6d 75 72 6d | 75 72 0d 06 4e 6f 72 6d |ant murm|ur..Norm|
|00002e10| 61 6c 20 70 75 6c 73 65 | 73 09 09 20 20 20 20 20 |al pulse|s.. |
|00002e20| 20 20 20 20 20 20 20 20 | 20 20 4e 6f 72 6d 61 6c | | Normal|
|00002e30| 20 2f 20 61 62 6e 6f 72 | 6d 61 6c 0d 06 4e 6f 20 | / abnor|mal..No |
|00002e40| 74 68 72 69 6c 6c 09 09 | 09 20 20 20 20 20 20 20 |thrill..|. |
|00002e50| 20 20 20 20 20 20 20 20 | 54 68 72 69 6c 6c 20 6d | |Thrill m|
|00002e60| 61 79 20 62 65 20 70 72 | 65 73 65 6e 74 0d 06 53 |ay be pr|esent..S|
|00002e70| 6f 66 74 09 09 09 20 20 | 20 20 20 20 20 20 20 20 |oft... | |
|00002e80| 20 20 20 20 20 53 6f 66 | 74 20 2f 20 6c 6f 75 64 | Sof|t / loud|
|00002e90| 0d 06 4f 66 74 65 6e 20 | 76 61 72 69 61 62 6c 65 |..Often |variable|
|00002ea0| 09 09 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |.. | |
|00002eb0| 20 43 6f 6e 73 69 73 74 | 65 6e 74 0d 06 4e 6f 72 | Consist|ent..Nor|
|00002ec0| 6d 61 6c 20 68 65 61 72 | 74 20 73 6f 75 6e 64 73 |mal hear|t sounds|
|00002ed0| 09 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |. | |
|00002ee0| 4d 61 79 20 62 65 20 61 | 62 6e 6f 72 6d 61 6c 0d |May be a|bnormal.|
|00002ef0| 06 4e 6f 72 6d 61 6c 20 | 45 43 47 2c 63 68 65 73 |.Normal |ECG,ches|
|00002f00| 74 58 2d 72 61 79 20 20 | 20 20 20 20 20 20 20 20 |tX-ray | |
|00002f10| 20 20 20 20 4d 61 79 20 | 62 65 20 61 62 6e 6f 72 | May |be abnor|
|00002f20| 6d 61 6c 0d 06 4e 6f 20 | 61 64 64 65 64 20 73 6f |mal..No |added so|
|00002f30| 75 6e 64 73 20 28 20 63 | 6c 69 63 6b 73 20 65 74 |unds ( c|licks et|
|00002f40| 63 2e 20 29 0d 06 33 2e | 20 49 6e 76 65 73 74 69 |c. )..3.| Investi|
|00002f50| 67 61 74 69 6f 6e 73 0d | 06 20 49 64 65 61 6c 6c |gations.|. Ideall|
|00002f60| 79 2c 61 6c 6c 20 63 68 | 69 6c 64 72 65 6e 20 69 |y,all ch|ildren i|
|00002f70| 6e 20 77 68 6f 6d 20 20 | 61 20 6d 75 72 6d 75 72 |n whom |a murmur|
|00002f80| 20 69 73 20 20 68 65 61 | 72 64 20 20 73 68 6f 75 | is hea|rd shou|
|00002f90| 6c 64 20 68 61 76 65 20 | 61 6e 20 45 43 47 2c 20 |ld have |an ECG, |
|00002fa0| 63 68 65 73 74 20 58 2d | 72 61 79 20 20 61 6e 64 |chest X-|ray and|
|00002fb0| 20 20 66 6f 75 72 20 6c | 69 6d 62 20 62 6c 6f 6f | four l|imb bloo|
|00002fc0| 64 20 20 70 72 65 73 73 | 75 72 65 20 20 6d 65 61 |d press|ure mea|
|00002fd0| 73 75 72 65 6d 65 6e 74 | 73 2e 0d 06 0d 06 4d 61 |surement|s.....Ma|
|00002fe0| 6e 61 67 65 6d 65 6e 74 | 0d 06 09 49 66 20 74 68 |nagement|...If th|
|00002ff0| 65 20 6d 75 72 6d 75 72 | 20 69 73 20 68 65 61 72 |e murmur| is hear|
|00003000| 64 20 69 6e 63 69 64 65 | 6e 74 61 6c 6c 79 20 61 |d incide|ntally a|
|00003010| 6e 64 20 73 65 65 6d 73 | 20 69 6e 6e 6f 63 65 6e |nd seems| innocen|
|00003020| 74 20 74 68 65 20 63 68 | 69 6c 64 20 73 68 6f 75 |t the ch|ild shou|
|00003030| 6c 64 20 72 65 74 75 72 | 6e 20 66 6f 72 20 61 20 |ld retur|n for a |
|00003040| 72 65 70 65 61 74 20 65 | 78 61 6d 69 6e 61 74 69 |repeat e|xaminati|
|00003050| 6f 6e 20 77 68 65 6e 20 | 77 65 6c 6c 2e 20 0d 06 |on when |well. ..|
|00003060| 09 49 66 20 74 68 65 20 | 6d 75 72 6d 75 72 20 69 |.If the |murmur i|
|00003070| 73 20 70 65 72 73 69 73 | 74 69 6e 67 2c 20 70 65 |s persis|ting, pe|
|00003080| 72 66 6f 72 6d 20 74 68 | 65 20 69 6e 76 65 73 74 |rform th|e invest|
|00003090| 69 67 61 74 69 6f 6e 73 | 20 61 74 20 74 68 69 73 |igations| at this|
|000030a0| 20 73 74 61 67 65 2e 20 | 49 66 20 74 68 65 20 69 | stage. |If the i|
|000030b0| 6e 76 65 73 74 69 67 61 | 74 69 6f 6e 73 20 61 72 |nvestiga|tions ar|
|000030c0| 65 20 61 62 6e 6f 72 6d | 61 6c 2c 20 74 68 65 6e |e abnorm|al, then|
|000030d0| 20 72 65 66 65 72 20 74 | 6f 20 74 68 65 20 63 61 | refer t|o the ca|
|000030e0| 72 64 69 6f 6c 6f 67 69 | 73 74 73 2e 20 49 66 20 |rdiologi|sts. If |
|000030f0| 74 68 65 20 69 6e 76 65 | 73 74 69 67 61 74 69 6f |the inve|stigatio|
|00003100| 6e 73 20 61 72 65 20 6e | 6f 72 6d 61 6c 2c 20 74 |ns are n|ormal, t|
|00003110| 68 65 20 63 68 69 6c 64 | 20 6d 61 79 20 62 65 20 |he child| may be |
|00003120| 64 69 73 63 68 61 72 67 | 65 64 2e 0d 06 09 49 66 |discharg|ed....If|
|00003130| 20 74 68 65 20 6d 75 72 | 6d 75 72 73 65 65 6d 73 | the mur|murseems|
|00003140| 20 70 61 74 68 6f 6c 6f | 67 69 63 61 6c 2c 20 74 | patholo|gical, t|
|00003150| 68 65 6e 20 20 69 6e 76 | 65 73 74 69 67 61 74 69 |hen inv|estigati|
|00003160| 6f 6e 73 20 6d 75 73 74 | 20 62 65 20 70 65 72 66 |ons must| be perf|
|00003170| 6f 72 6d 65 64 20 20 61 | 6e 64 20 74 68 65 20 63 |ormed a|nd the c|
|00003180| 68 69 6c 64 20 72 65 66 | 65 72 72 65 64 20 74 6f |hild ref|erred to|
|00003190| 20 74 68 65 20 63 61 72 | 64 69 6f 6c 6f 67 69 73 | the car|diologis|
|000031a0| 74 73 2c 20 65 76 65 6e | 20 69 66 20 74 68 65 20 |ts, even| if the |
|000031b0| 69 6e 76 65 73 74 69 67 | 61 74 69 6f 6e 73 20 61 |investig|ations a|
|000031c0| 72 65 20 6e 6f 72 6d 61 | 6c 2e 0d 06 0d 06 43 68 |re norma|l.....Ch|
|000031d0| 61 72 61 63 74 65 72 69 | 73 74 69 63 73 20 6f 66 |aracteri|stics of|
|000031e0| 20 73 6f 6d 65 20 63 68 | 69 6c 64 68 6f 6f 64 20 | some ch|ildhood |
|000031f0| 6d 75 72 6d 75 72 73 0d | 06 0d 06 53 74 69 6c 6c |murmurs.|...Still|
|00003200| 92 73 20 6d 75 72 6d 75 | 72 20 28 20 69 6e 6e 6f |.s murmu|r ( inno|
|00003210| 63 65 6e 74 29 0d 06 41 | 20 73 68 6f 72 74 20 65 |cent)..A| short e|
|00003220| 6a 65 63 74 69 6f 6e 20 | 73 79 73 74 6f 6c 69 63 |jection |systolic|
|00003230| 20 6d 75 72 6d 75 72 2c | 20 6c 6f 75 64 65 73 74 | murmur,| loudest|
|00003240| 20 61 74 20 74 68 65 20 | 6c 6f 77 65 72 20 6c 65 | at the |lower le|
|00003250| 66 74 20 73 74 65 72 6e | 61 6c 20 65 64 67 65 2c |ft stern|al edge,|
|00003260| 20 75 73 75 61 6c 6c 79 | 20 6d 69 64 77 61 79 20 | usually| midway |
|00003270| 62 65 74 77 65 65 6e 20 | 66 6f 75 72 74 68 20 69 |between |fourth i|
|00003280| 6e 74 65 72 63 6f 73 74 | 61 6c 20 73 70 61 63 65 |ntercost|al space|
|00003290| 20 61 6e 64 20 61 70 65 | 78 2c 20 76 69 62 72 61 | and ape|x, vibra|
|000032a0| 74 6f 72 79 2c 20 61 74 | 74 65 6e 75 61 74 65 64 |tory, at|tenuated|
|000032b0| 20 69 6e 20 74 68 65 20 | 73 69 74 74 69 6e 67 20 | in the |sitting |
|000032c0| 70 6f 73 69 74 69 6f 6e | 2c 20 77 69 74 68 20 76 |position|, with v|
|000032d0| 65 72 79 20 6c 69 74 74 | 6c 65 20 72 61 64 69 61 |ery litt|le radia|
|000032e0| 74 69 6f 6e 2e 0d 06 0d | 06 56 65 6e 6f 75 73 20 |tion....|.Venous |
|000032f0| 68 75 6d 20 28 20 69 6e | 6e 6f 63 65 6e 74 29 0d |hum ( in|nocent).|
|00003300| 06 41 20 73 6f 66 74 20 | 20 68 75 6d 6d 69 6e 67 |.A soft | humming|
|00003310| 20 73 6f 75 6e 64 20 20 | 68 65 61 72 64 20 20 69 | sound |heard i|
|00003320| 6e 20 20 73 79 73 74 6f | 6c 65 20 20 61 6e 64 20 |n systo|le and |
|00003330| 20 64 69 61 73 74 6f 6c | 65 2c 20 6c 6f 75 64 65 | diastol|e, loude|
|00003340| 73 74 20 20 69 6e 20 20 | 74 68 65 20 20 6e 65 63 |st in |the nec|
|00003350| 6b 20 20 6f 72 20 20 75 | 70 70 65 72 20 20 63 68 |k or u|pper ch|
|00003360| 65 73 74 0d 06 54 68 65 | 20 69 6e 74 65 6e 73 69 |est..The| intensi|
|00003370| 74 79 20 76 61 72 69 65 | 73 20 77 69 74 68 20 70 |ty varie|s with p|
|00003380| 6f 73 69 74 69 6f 6e 20 | 6f 66 20 6e 65 63 6b 20 |osition |of neck |
|00003390| 61 6e 64 20 69 74 20 69 | 73 20 0d 06 73 6f 66 74 |and it i|s ..soft|
|000033a0| 65 6e 65 64 20 62 79 20 | 6c 69 67 68 74 6c 79 20 |ened by |lightly |
|000033b0| 63 6f 6d 70 72 65 73 73 | 69 6e 67 20 74 68 65 20 |compress|ing the |
|000033c0| 6a 75 67 75 6c 61 72 20 | 76 65 69 6e 0d 06 61 6e |jugular |vein..an|
|000033d0| 64 20 69 6e 20 74 68 65 | 20 73 75 70 69 6e 65 20 |d in the| supine |
|000033e0| 70 6f 73 69 74 69 6f 6e | 2e 0d 06 0d 06 0d 06 56 |position|.......V|
|000033f0| 65 6e 74 72 69 63 75 6c | 61 72 20 20 73 65 70 74 |entricul|ar sept|
|00003400| 61 6c 20 20 64 65 66 65 | 63 74 0d 06 20 41 20 70 |al defe|ct.. A p|
|00003410| 61 6e 73 79 73 74 6f 6c | 69 63 20 20 6d 75 72 6d |ansystol|ic murm|
|00003420| 75 72 2c 20 6c 6f 75 64 | 65 73 74 20 61 74 20 74 |ur, loud|est at t|
|00003430| 68 65 20 6c 6f 77 65 72 | 20 6c 65 66 74 20 73 74 |he lower| left st|
|00003440| 65 72 6e 61 6c 20 20 62 | 6f 72 64 65 72 2e 54 68 |ernal b|order.Th|
|00003450| 65 20 63 68 65 73 74 20 | 20 78 2d 72 61 79 20 20 |e chest | x-ray |
|00003460| 6d 61 79 20 20 73 68 6f | 77 20 20 63 61 72 64 69 |may sho|w cardi|
|00003470| 6f 6d 65 67 61 6c 79 2c | 0d 06 70 75 6c 6d 6f 6e |omegaly,|..pulmon|
|00003480| 61 72 79 20 20 70 6c 65 | 74 68 6f 72 61 20 61 6e |ary ple|thora an|
|00003490| 64 20 65 6e 6c 61 72 67 | 65 64 20 70 75 6c 6d 6f |d enlarg|ed pulmo|
|000034a0| 6e 61 72 79 20 61 72 74 | 65 72 79 0d 06 61 6e 64 |nary art|ery..and|
|000034b0| 20 74 68 65 20 20 45 43 | 47 20 6d 61 79 20 73 68 | the EC|G may sh|
|000034c0| 6f 77 20 20 62 69 76 65 | 6e 74 72 69 63 75 6c 61 |ow bive|ntricula|
|000034d0| 72 20 20 68 79 70 65 72 | 74 72 6f 70 68 79 2e 0d |r hyper|trophy..|
|000034e0| 06 0d 06 41 74 72 69 61 | 6c 20 73 65 70 74 61 6c |...Atria|l septal|
|000034f0| 20 64 65 66 65 63 74 20 | 0d 06 41 6e 20 65 6a 65 | defect |..An eje|
|00003500| 63 74 69 6f 6e 20 73 79 | 73 74 6f 6c 69 63 20 20 |ction sy|stolic |
|00003510| 6d 75 72 6d 75 72 20 69 | 6e 20 74 68 20 20 70 75 |murmur i|n th pu|
|00003520| 6c 6d 6f 6e 61 72 79 20 | 61 72 65 61 77 69 74 68 |lmonary |areawith|
|00003530| 20 66 69 78 65 64 20 73 | 70 6c 69 74 74 69 6e 67 | fixed s|plitting|
|00003540| 20 6f 66 20 74 68 65 20 | 73 65 63 6f 6e 64 20 68 | of the |second h|
|00003550| 65 61 72 74 20 73 6f 75 | 6e 64 2e 54 68 65 20 63 |eart sou|nd.The c|
|00003560| 68 65 73 74 20 20 78 2d | 72 61 79 20 20 69 73 20 |hest x-|ray is |
|00003570| 73 69 6d 69 6c 61 72 20 | 74 6f 20 74 68 61 74 20 |similar |to that |
|00003580| 6f 66 20 61 20 56 53 44 | 20 61 6e 64 20 74 68 65 |of a VSD| and the|
|00003590| 20 45 43 47 20 6d 61 79 | 20 73 68 6f 77 20 72 69 | ECG may| show ri|
|000035a0| 67 68 74 20 20 61 78 69 | 73 20 64 65 76 69 61 74 |ght axi|s deviat|
|000035b0| 69 6f 6e 20 61 6e 64 20 | 69 6e 63 6f 6d 70 6c 65 |ion and |incomple|
|000035c0| 74 65 20 20 52 42 42 42 | 2e 0d 06 0d 06 50 75 6c |te RBBB|.....Pul|
|000035d0| 6d 6f 6e 61 72 79 20 20 | 73 74 65 6e 6f 73 69 73 |monary |stenosis|
|000035e0| 20 0d 06 41 6e 20 65 6a | 65 63 74 69 6f 6e 20 73 | ..An ej|ection s|
|000035f0| 79 73 74 6f 6c 69 63 20 | 20 6d 75 72 6d 75 72 20 |ystolic | murmur |
|00003600| 69 6e 20 74 68 65 20 70 | 75 6c 6d 6f 6e 61 72 79 |in the p|ulmonary|
|00003610| 20 61 72 65 61 20 77 69 | 74 68 20 61 20 73 6f 66 | area wi|th a sof|
|00003620| 74 20 61 6e 64 20 77 69 | 64 65 6c 79 20 73 70 6c |t and wi|dely spl|
|00003630| 69 74 20 73 65 63 6f 6e | 64 20 73 6f 75 6e 64 20 |it secon|d sound |
|00003640| 2b 20 2f 20 2d 20 65 6a | 65 63 74 69 6f 6e 20 63 |+ / - ej|ection c|
|00003650| 6c 69 63 6b 2e 54 68 65 | 20 63 68 65 73 74 20 78 |lick.The| chest x|
|00003660| 2d 72 61 79 20 6d 61 79 | 20 73 68 6f 77 20 20 70 |-ray may| show p|
|00003670| 6f 73 74 20 73 74 65 6e | 6f 74 69 63 20 64 69 6c |ost sten|otic dil|
|00003680| 61 74 69 6f 6e 20 6f 66 | 20 74 68 65 20 70 75 6c |ation of| the pul|
|00003690| 6d 6f 6e 61 72 79 20 61 | 72 74 65 72 79 20 61 6e |monary a|rtery an|
|000036a0| 64 20 74 68 65 20 20 45 | 43 47 20 6d 61 79 20 73 |d the E|CG may s|
|000036b0| 68 6f 77 20 52 56 48 2e | 0d 06 0d 06 50 61 74 65 |how RVH.|....Pate|
|000036c0| 6e 74 20 64 75 63 74 75 | 73 20 61 72 74 65 72 69 |nt ductu|s arteri|
|000036d0| 6f 73 75 73 20 0d 06 41 | 20 63 6f 6e 74 69 6e 75 |osus ..A| continu|
|000036e0| 6f 75 73 20 6d 75 72 6d | 75 72 20 68 65 61 72 64 |ous murm|ur heard|
|000036f0| 20 62 65 73 74 20 69 6e | 20 74 68 65 20 70 75 6c | best in| the pul|
|00003700| 6d 6f 6e 61 72 79 20 61 | 72 65 61 20 72 61 64 69 |monary a|rea radi|
|00003710| 61 74 69 6e 67 20 74 6f | 20 74 68 65 20 62 61 63 |ating to| the bac|
|00003720| 6b 2e 20 50 65 72 69 70 | 68 65 72 61 6c 20 70 75 |k. Perip|heral pu|
|00003730| 6c 73 65 73 20 61 72 65 | 20 63 6f 6c 6c 61 70 73 |lses are| collaps|
|00003740| 69 6e 67 2e 20 54 68 65 | 20 63 68 65 73 74 20 78 |ing. The| chest x|
|00003750| 2d 72 61 79 20 6d 61 79 | 20 73 68 6f 77 20 63 61 |-ray may| show ca|
|00003760| 72 64 69 6f 6d 65 67 61 | 6c 79 20 77 69 74 68 20 |rdiomega|ly with |
|00003770| 70 75 6c 6d 6f 6e 61 72 | 79 20 70 6c 65 74 68 6f |pulmonar|y pletho|
|00003780| 72 61 20 61 6e 64 20 74 | 68 65 20 45 43 47 20 6d |ra and t|he ECG m|
|00003790| 61 79 20 73 68 6f 77 20 | 4c 56 48 2e 0d 06 0d 06 |ay show |LVH.....|
|000037a0| 41 6f 72 74 69 63 20 73 | 74 65 6e 6f 73 69 73 20 |Aortic s|tenosis |
|000037b0| 0d 06 41 6e 20 65 6a 65 | 63 74 69 6f 6e 20 73 79 |..An eje|ction sy|
|000037c0| 73 74 6f 6c 69 63 20 6d | 75 72 6d 75 72 20 2c 20 |stolic m|urmur , |
|000037d0| 6c 6f 75 64 65 73 74 20 | 61 74 20 74 68 65 20 72 |loudest |at the r|
|000037e0| 69 67 68 74 20 73 74 65 | 72 6e 61 6c 20 62 6f 72 |ight ste|rnal bor|
|000037f0| 64 65 72 20 61 6e 64 20 | 72 61 64 69 61 74 69 6e |der and |radiatin|
|00003800| 67 20 74 6f 20 74 68 65 | 20 6e 65 63 6b 20 2b 20 |g to the| neck + |
|00003810| 2f 20 2d 20 65 6a 65 63 | 74 69 6f 6e 20 63 6c 69 |/ - ejec|tion cli|
|00003820| 63 6b 2e 20 50 65 72 69 | 70 68 65 72 61 6c 20 70 |ck. Peri|pheral p|
|00003830| 75 6c 73 65 73 20 68 61 | 76 65 20 73 6d 61 6c 6c |ulses ha|ve small|
|00003840| 20 76 6f 6c 75 6d 65 2e | 0d 06 54 68 65 20 63 68 | volume.|..The ch|
|00003850| 65 73 74 20 78 2d 72 61 | 79 20 6d 61 79 20 73 68 |est x-ra|y may sh|
|00003860| 6f 77 20 70 6f 73 74 20 | 73 74 65 6e 6f 74 69 63 |ow post |stenotic|
|00003870| 20 64 69 6c 61 74 69 6f | 6e 20 6f 66 20 74 68 65 | dilatio|n of the|
|00003880| 20 61 73 63 65 6e 64 69 | 6e 67 20 61 6f 72 74 61 | ascendi|ng aorta|
|00003890| 20 61 6e 64 20 74 68 65 | 20 20 45 43 47 20 69 73 | and the| ECG is|
|000038a0| 20 75 73 75 61 6c 6c 79 | 20 6e 6f 72 6d 61 6c 20 | usually| normal |
|000038b0| 75 6e 6c 65 73 73 20 74 | 68 65 20 73 74 65 6e 6f |unless t|he steno|
|000038c0| 73 69 73 20 69 73 20 73 | 65 76 65 72 65 2e 06 00 |sis is s|evere...|
|000038d0| 40 04 00 00 00 00 00 02 | 01 00 00 00 0f 00 00 00 |@.......|........|
|000038e0| 07 b4 00 00 00 0a 00 00 | 00 00 16 d0 02 00 00 13 |........|........|
|000038f0| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1f 02 22 06 |........|......".|
|00003900| 41 72 69 61 6c 01 02 00 | 00 00 0f 00 00 00 07 b4 |Arial...|........|
|00003910| 00 00 00 0a 00 00 00 00 | 16 d0 02 00 00 15 00 00 |........|........|
|00003920| 00 1a ff ff ff 1c 18 01 | 00 00 1e 01 1f 02 22 06 |........|......".|
|00003930| 41 72 69 61 6c 01 40 00 | 00 00 06 01 00 00 01 02 |Arial.@.|........|
|00003940| 00 00 00 01 2c 00 00 00 | 00 0f 00 00 00 07 b4 00 |....,...|........|
|00003950| 00 00 0a 00 00 00 00 16 | d0 02 00 00 02 00 00 00 |........|........|
|00003960| 0c 00 00 00 00 0f 00 00 | 00 07 b4 00 00 00 0a 00 |........|........|
|00003970| 00 00 00 16 d0 02 00 00 | 03 00 00 00 2e 00 00 00 |........|........|
|00003980| 00 50 00 00 00 02 1b 01 | 00 00 04 e5 fe ff ff 07 |.P......|........|
|00003990| b4 00 00 00 0a 00 00 00 | 00 17 1b 01 00 00 01 17 |........|........|
|000039a0| d0 02 00 00 01 17 a0 05 | 00 00 01 17 70 08 00 00 |........|....p...|
|000039b0| 01 17 40 0b 00 00 01 17 | 10 0e 00 00 01 17 e0 10 |..@.....|........|
|000039c0| 00 00 01 15 10 40 01 00 | 00 95 00 00 00 00 06 41 |.....@..|.......A|
|000039d0| 72 69 61 6c 00 02 00 00 | 00 2e 00 00 00 00 50 00 |rial....|......P.|
|000039e0| 00 00 02 1b 01 00 00 04 | e5 fe ff ff 07 b4 00 00 |........|........|
|000039f0| 00 0a 00 00 00 00 17 1b | 01 00 00 01 17 d0 02 00 |........|........|
|00003a00| 00 01 17 a0 05 00 00 01 | 17 70 08 00 00 01 17 40 |........|.p.....@|
|00003a10| 0b 00 00 01 17 10 0e 00 | 00 01 17 e0 10 00 00 01 |........|........|
|00003a20| 15 10 40 01 00 00 95 00 | 00 00 00 06 41 72 69 61 |..@.....|....Aria|
|00003a30| 6c 00 02 00 00 00 22 00 | 00 00 00 50 00 00 00 02 |l.....".|...P....|
|00003a40| 1b 01 00 00 04 e5 fe ff | ff 07 b4 00 00 00 0a 00 |........|........|
|00003a50| 00 00 00 17 1b 01 00 00 | 01 17 d0 02 00 00 01 17 |........|........|
|00003a60| a0 05 00 00 01 17 70 08 | 00 00 01 17 40 0b 00 00 |......p.|....@...|
|00003a70| 01 17 10 0e 00 00 01 17 | e0 10 00 00 01 15 10 40 |........|.......@|
|00003a80| 01 00 00 95 00 00 00 00 | 06 41 72 69 61 6c 00 02 |........|.Arial..|
|00003a90| 00 00 00 02 00 00 00 01 | 10 00 00 00 00 0f 00 00 |........|........|
|00003aa0| 00 07 b4 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00003ab0| 03 00 00 00 26 00 00 00 | 00 50 00 00 00 02 1b 01 |....&...|.P......|
|00003ac0| 00 00 04 e5 fe ff ff 07 | b4 00 00 00 0a 00 00 00 |........|........|
|00003ad0| 00 17 1b 01 00 00 01 17 | d0 02 00 00 01 17 a0 05 |........|........|
|00003ae0| 00 00 01 17 70 08 00 00 | 01 17 40 0b 00 00 01 17 |....p...|..@.....|
|00003af0| 10 0e 00 00 01 17 e0 10 | 00 00 01 15 10 40 01 00 |........|.....@..|
|00003b00| 00 95 00 00 00 00 06 41 | 72 69 61 6c 00 02 00 00 |.......A|rial....|
|00003b10| 00 29 00 00 00 00 50 00 | 00 00 02 1b 01 00 00 04 |.)....P.|........|
|00003b20| e5 fe ff ff 07 b4 00 00 | 00 0a 00 00 00 00 17 1b |........|........|
|00003b30| 01 00 00 01 17 d0 02 00 | 00 01 17 a0 05 00 00 01 |........|........|
|00003b40| 17 70 08 00 00 01 17 40 | 0b 00 00 01 17 10 0e 00 |.p.....@|........|
|00003b50| 00 01 17 e0 10 00 00 01 | 15 10 40 01 00 00 95 00 |........|..@.....|
|00003b60| 00 00 00 06 41 72 69 61 | 6c 00 02 00 00 00 2e 00 |....Aria|l.......|
|00003b70| 00 00 00 50 00 00 00 02 | 1b 01 00 00 04 e5 fe ff |...P....|........|
|00003b80| ff 07 b4 00 00 00 0a 00 | 00 00 00 17 1b 01 00 00 |........|........|
|00003b90| 01 17 d0 02 00 00 01 17 | a0 05 00 00 01 17 70 08 |........|......p.|
|00003ba0| 00 00 01 17 40 0b 00 00 | 01 17 10 0e 00 00 01 17 |....@...|........|
|00003bb0| e0 10 00 00 01 15 10 40 | 01 00 00 95 00 00 00 00 |.......@|........|
|00003bc0| 06 41 72 69 61 6c 00 02 | 00 00 00 21 00 00 00 00 |.Arial..|...!....|
|00003bd0| 50 00 00 00 02 1b 01 00 | 00 04 e5 fe ff ff 07 b4 |P.......|........|
|00003be0| 00 00 00 0a 00 00 00 00 | 17 1b 01 00 00 01 17 d0 |........|........|
|00003bf0| 02 00 00 01 17 a0 05 00 | 00 01 17 70 08 00 00 01 |........|...p....|
|00003c00| 17 40 0b 00 00 01 17 10 | 0e 00 00 01 17 e0 10 00 |.@......|........|
|00003c10| 00 01 15 10 40 01 00 00 | 95 00 00 00 00 06 41 72 |....@...|......Ar|
|00003c20| 69 61 6c 00 02 00 00 00 | 1c 00 00 00 00 50 00 00 |ial.....|.....P..|
|00003c30| 00 02 1b 01 00 00 04 e5 | fe ff ff 07 b4 00 00 00 |........|........|
|00003c40| 0a 00 00 00 00 17 1b 01 | 00 00 01 17 d0 02 00 00 |........|........|
|00003c50| 01 17 a0 05 00 00 01 17 | 70 08 00 00 01 17 40 0b |........|p.....@.|
|00003c60| 00 00 01 17 10 0e 00 00 | 01 17 e0 10 00 00 01 15 |........|........|
|00003c70| 10 40 01 00 00 95 00 00 | 00 00 06 41 72 69 61 6c |.@......|...Arial|
|00003c80| 00 02 00 00 00 34 00 00 | 00 00 50 00 00 00 02 1b |.....4..|..P.....|
|00003c90| 01 00 00 04 e5 fe ff ff | 07 b4 00 00 00 0a 00 00 |........|........|
|00003ca0| 00 00 17 1b 01 00 00 01 | 17 d0 02 00 00 01 17 a0 |........|........|
|00003cb0| 05 00 00 01 17 70 08 00 | 00 01 17 40 0b 00 00 01 |.....p..|...@....|
|00003cc0| 17 10 0e 00 00 01 17 e0 | 10 00 00 01 15 10 40 01 |........|......@.|
|00003cd0| 00 00 95 00 00 00 00 06 | 41 72 69 61 6c 00 02 00 |........|Arial...|
|00003ce0| 00 00 1c 00 00 00 00 50 | 00 00 00 02 1b 01 00 00 |.......P|........|
|00003cf0| 04 e5 fe ff ff 07 b4 00 | 00 00 0a 00 00 00 00 17 |........|........|
|00003d00| 1b 01 00 00 01 17 d0 02 | 00 00 01 17 a0 05 00 00 |........|........|
|00003d10| 01 17 70 08 00 00 01 17 | 40 0b 00 00 01 17 10 0e |..p.....|@.......|
|00003d20| 00 00 01 17 e0 10 00 00 | 01 15 10 40 01 00 00 95 |........|...@....|
|00003d30| 00 00 00 00 06 41 72 69 | 61 6c 00 02 00 00 00 5d |.....Ari|al.....]|
|00003d40| 00 00 00 00 50 00 00 00 | 02 1b 01 00 00 04 e5 fe |....P...|........|
|00003d50| ff ff 07 b4 00 00 00 0a | 00 00 00 00 17 1b 01 00 |........|........|
|00003d60| 00 01 17 d0 02 00 00 01 | 17 a0 05 00 00 01 17 70 |........|.......p|
|00003d70| 08 00 00 01 17 40 0b 00 | 00 01 17 10 0e 00 00 01 |.....@..|........|
|00003d80| 17 e0 10 00 00 01 15 10 | 40 01 00 00 95 00 00 00 |........|@.......|
|00003d90| 00 06 41 72 69 61 6c 00 | 02 00 00 00 33 00 00 00 |..Arial.|....3...|
|00003da0| 01 02 00 00 00 02 33 00 | 00 00 02 31 00 00 00 01 |......3.|...1....|
|00003db0| 32 00 00 00 01 23 00 00 | 00 01 2b 00 00 00 01 34 |2....#..|..+....4|
|00003dc0| 00 00 00 01 34 00 00 00 | 01 21 00 00 00 01 13 00 |....4...|.!......|
|00003dd0| 00 00 00 0f 00 00 00 07 | b4 00 00 00 0a 00 00 00 |........|........|
|00003de0| 00 16 d0 02 00 00 02 00 | 00 00 83 00 00 00 01 02 |........|........|
|00003df0| 00 00 00 01 0c 00 00 00 | 02 76 00 00 00 00 50 00 |........|.v....P.|
|00003e00| 00 00 02 1b 01 00 00 04 | e5 fe ff ff 07 b4 00 00 |........|........|
|00003e10| 00 0a 00 00 00 00 17 1b | 01 00 00 01 17 d0 02 00 |........|........|
|00003e20| 00 01 17 a0 05 00 00 01 | 17 70 08 00 00 01 17 40 |........|.p.....@|
|00003e30| 0b 00 00 01 17 10 0e 00 | 00 01 17 e0 10 00 00 01 |........|........|
|00003e40| 15 10 40 01 00 00 95 00 | 00 00 00 06 41 72 69 61 |..@.....|....Aria|
|00003e50| 6c 00 03 00 00 00 cd 00 | 00 00 00 50 00 00 00 02 |l.......|...P....|
|00003e60| 1b 01 00 00 04 e5 fe ff | ff 07 b4 00 00 00 0a 00 |........|........|
|00003e70| 00 00 00 17 1b 01 00 00 | 01 17 d0 02 00 00 01 17 |........|........|
|00003e80| a0 05 00 00 01 17 70 08 | 00 00 01 17 40 0b 00 00 |......p.|....@...|
|00003e90| 01 17 10 0e 00 00 01 17 | e0 10 00 00 01 15 10 40 |........|.......@|
|00003ea0| 01 00 00 95 00 00 00 00 | 06 41 72 69 61 6c 00 02 |........|.Arial..|
|00003eb0| 00 00 00 9f 00 00 00 00 | 50 00 00 00 02 1b 01 00 |........|P.......|
|00003ec0| 00 04 e5 fe ff ff 07 b4 | 00 00 00 0a 00 00 00 00 |........|........|
|00003ed0| 17 1b 01 00 00 01 17 d0 | 02 00 00 01 17 a0 05 00 |........|........|
|00003ee0| 00 01 17 70 08 00 00 01 | 17 40 0b 00 00 01 17 10 |...p....|.@......|
|00003ef0| 0e 00 00 01 17 e0 10 00 | 00 01 15 10 40 01 00 00 |........|....@...|
|00003f00| 95 00 00 00 00 06 41 72 | 69 61 6c 00 03 00 00 00 |......Ar|ial.....|
|00003f10| 02 00 00 00 01 2b 00 00 | 00 02 02 00 00 00 02 1c |.....+..|........|
|00003f20| 00 00 00 02 d0 00 00 00 | 01 02 00 00 00 02 18 00 |........|........|
|00003f30| 00 00 00 0f 00 00 00 07 | b4 00 00 00 0a 00 00 00 |........|........|
|00003f40| 00 16 d0 02 00 00 02 00 | 00 00 64 00 00 00 01 37 |........|..d....7|
|00003f50| 00 00 00 01 32 00 00 00 | 01 1d 00 00 00 01 02 00 |....2...|........|
|00003f60| 00 00 02 02 00 00 00 02 | 1d 00 00 00 02 6e 00 00 |........|.....n..|
|00003f70| 00 01 33 00 00 00 01 34 | 00 00 00 01 02 00 00 00 |..3....4|........|
|00003f80| 01 17 00 00 00 00 0f 00 | 00 00 07 b4 00 00 00 0a |........|........|
|00003f90| 00 00 00 00 16 d0 02 00 | 00 02 00 00 00 d1 00 00 |........|........|
|00003fa0| 00 01 02 00 00 00 02 16 | 00 00 00 00 0f 00 00 00 |........|........|
|00003fb0| 07 b4 00 00 00 0a 00 00 | 00 00 16 d0 02 00 00 02 |........|........|
|00003fc0| 00 00 00 d7 00 00 00 01 | 02 00 00 00 02 1b 00 00 |........|........|
|00003fd0| 00 00 0f 00 00 00 07 b4 | 00 00 00 0a 00 00 00 00 |........|........|
|00003fe0| 16 d0 02 00 00 02 00 00 | 00 c7 00 00 00 01 02 00 |........|........|
|00003ff0| 00 00 02 12 00 00 00 00 | 0f 00 00 00 07 b4 00 00 |........|........|
|00004000| 00 0a 00 00 00 00 16 d0 | 02 00 00 02 00 00 00 98 |........|........|
|00004010| 00 00 00 01 85 00 00 00 | 00 00 00 00 00 02 00 00 |........|........|
|00004020| 00 34 00 00 00 00 01 00 | 00 00 13 00 00 00 1a ff |.4......|........|
|00004030| ff ff 1c 18 01 00 00 1f | 02 22 06 41 72 69 61 6c |........|.".Arial|
|00004040| 01 00 2b 00 00 00 15 00 | 00 00 1a ff ff ff 1c 18 |..+.....|........|
|00004050| 01 00 00 1e 01 1f 02 22 | 06 41 72 69 61 6c 01 00 |......."|.Arial..|
|00004060| 02 00 00 00 13 00 00 00 | 1a ff ff ff 1c 18 01 00 |........|........|
|00004070| 00 1f 02 22 06 41 72 69 | 61 6c 01 00 08 00 00 00 |...".Ari|al......|
|00004080| 15 00 00 00 1a ff ff ff | 1c 18 01 00 00 1e 01 1f |........|........|
|00004090| 02 22 06 41 72 69 61 6c | 01 00 02 00 00 00 13 00 |.".Arial|........|
|000040a0| 00 00 1a ff ff ff 1c 18 | 01 00 00 1f 02 22 06 41 |........|.....".A|
|000040b0| 72 69 61 6c 01 00 01 00 | 00 00 13 00 00 00 1a ff |rial....|........|
|000040c0| ff ff 1c 18 01 00 00 1f | 02 22 06 41 72 69 61 6c |........|.".Arial|
|000040d0| 01 00 2d 00 00 00 11 00 | 00 00 1a ff ff ff 1c 18 |..-.....|........|
|000040e0| 01 00 00 22 06 41 72 69 | 61 6c 01 00 01 00 00 00 |...".Ari|al......|
|000040f0| 13 00 00 00 1a ff ff ff | 1c 18 01 00 00 1f 02 22 |........|......."|
|00004100| 06 41 72 69 61 6c 01 00 | 2d 00 00 00 11 00 00 00 |.Arial..|-.......|
|00004110| 1a ff ff ff 1c 18 01 00 | 00 22 06 41 72 69 61 6c |........|.".Arial|
|00004120| 01 00 01 00 00 00 13 00 | 00 00 1a ff ff ff 1c 18 |........|........|
|00004130| 01 00 00 1f 02 22 06 41 | 72 69 61 6c 01 00 21 00 |.....".A|rial..!.|
|00004140| 00 00 11 75 c4 00 00 00 | 1a ff ff ff 1c 18 01 00 |...u....|........|
|00004150| 00 22 06 41 72 69 61 6c | 01 00 03 00 00 00 13 00 |.".Arial|........|
|00004160| 00 00 1a ff ff ff 1c 18 | 01 00 00 1f 02 22 06 41 |........|.....".A|
|00004170| 72 69 61 6c 01 00 0b 00 | 00 00 15 00 00 00 1a ff |rial....|........|
|00004180| ff ff 1c 18 01 00 00 1e | 01 1f 02 22 06 41 72 69 |........|...".Ari|
|00004190| 61 6c 01 00 02 00 00 00 | 13 00 00 00 1a ff ff ff |al......|........|
|000041a0| 1c 18 01 00 00 1f 02 22 | 06 41 72 69 61 6c 01 00 |......."|.Arial..|
|000041b0| 01 00 00 00 13 00 00 00 | 1a ff ff ff 1c 18 01 00 |........|........|
|000041c0| 00 1f 02 22 06 41 72 69 | 61 6c 01 00 25 00 00 00 |...".Ari|al..%...|
|000041d0| 11 00 00 00 1a ff ff ff | 1c 18 01 00 00 22 06 41 |........|.....".A|
|000041e0| 72 69 61 6c 01 00 01 00 | 00 00 13 00 00 00 1a ff |rial....|........|
|000041f0| ff ff 1c 18 01 00 00 1f | 02 22 06 41 72 69 61 6c |........|.".Arial|
|00004200| 01 00 28 00 00 00 11 00 | 00 00 1a ff ff ff 1c 18 |..(.....|........|
|00004210| 01 00 00 22 06 41 72 69 | 61 6c 01 00 01 00 00 00 |...".Ari|al......|
|00004220| 13 00 00 00 1a ff ff ff | 1c 18 01 00 00 1f 02 22 |........|......."|
|00004230| 06 41 72 69 61 6c 01 00 | 2d 00 00 00 11 00 00 00 |.Arial..|-.......|
|00004240| 1a ff ff ff 1c 18 01 00 | 00 22 06 41 72 69 61 6c |........|.".Arial|
|00004250| 01 00 01 00 00 00 13 00 | 00 00 1a ff ff ff 1c 18 |........|........|
|00004260| 01 00 00 1f 02 22 06 41 | 72 69 61 6c 01 00 20 00 |.....".A|rial.. .|
|00004270| 00 00 11 00 00 00 1a ff | ff ff 1c 18 01 00 00 22 |........|......."|
|00004280| 06 41 72 69 61 6c 01 00 | 01 00 00 00 13 00 00 00 |.Arial..|........|
|00004290| 1a ff ff ff 1c 18 01 00 | 00 1f 02 22 06 41 72 69 |........|...".Ari|
|000042a0| 61 6c 01 00 1b 00 00 00 | 11 00 00 00 1a ff ff ff |al......|........|
|000042b0| 1c 18 01 00 00 22 06 41 | 72 69 61 6c 01 00 01 00 |.....".A|rial....|
|000042c0| 00 00 13 00 00 00 1a ff | ff ff 1c 18 01 00 00 1f |........|........|
|000042d0| 02 22 06 41 72 69 61 6c | 01 00 33 00 00 00 11 00 |.".Arial|..3.....|
|000042e0| 00 00 1a ff ff ff 1c 18 | 01 00 00 22 06 41 72 69 |........|...".Ari|
|000042f0| 61 6c 01 00 01 00 00 00 | 13 00 00 00 1a ff ff ff |al......|........|
|00004300| 1c 18 01 00 00 1f 02 22 | 06 41 72 69 61 6c 01 00 |......."|.Arial..|
|00004310| 1b 00 00 00 11 00 00 00 | 1a ff ff ff 1c 18 01 00 |........|........|
|00004320| 00 22 06 41 72 69 61 6c | 01 00 01 00 00 00 13 00 |.".Arial|........|
|00004330| 00 00 1a ff ff ff 1c 18 | 01 00 00 1f 02 22 06 41 |........|.....".A|
|00004340| 72 69 61 6c 01 00 5c 00 | 00 00 11 00 00 00 1a ff |rial..\.|........|
|00004350| ff ff 1c 18 01 00 00 22 | 06 41 72 69 61 6c 01 00 |......."|.Arial..|
|00004360| 03 00 00 00 13 00 00 00 | 1a ff ff ff 1c 18 01 00 |........|........|
|00004370| 00 1f 02 22 06 41 72 69 | 61 6c 01 00 10 00 00 00 |...".Ari|al......|
|00004380| 15 00 00 00 1a ff ff ff | 1c 18 01 00 00 1e 01 1f |........|........|
|00004390| 02 22 06 41 72 69 61 6c | 01 00 01 00 00 00 13 00 |.".Arial|........|
|000043a0| 00 00 1a ff ff ff 1c 18 | 01 00 00 1f 02 22 06 41 |........|.....".A|
|000043b0| 72 69 61 6c 01 00 36 00 | 00 00 13 00 00 00 1a ff |rial..6.|........|
|000043c0| ff ff 20 01 1c 18 01 00 | 00 22 06 41 72 69 61 6c |.. .....|.".Arial|
|000043d0| 01 00 3f 00 00 00 11 00 | 00 00 1a ff ff ff 1c 18 |..?.....|........|
|000043e0| 01 00 00 22 06 41 72 69 | 61 6c 01 00 01 00 00 00 |...".Ari|al......|
|000043f0| 13 00 00 00 1a ff ff ff | 1c 18 01 00 00 1f 02 22 |........|......."|
|00004400| 06 41 72 69 61 6c 01 00 | cc 00 00 00 11 00 00 00 |.Arial..|........|
|00004410| 1a ff ff ff 1c 18 01 00 | 00 22 06 41 72 69 61 6c |........|.".Arial|
|00004420| 01 00 01 00 00 00 13 00 | 00 00 1a ff ff ff 1c 18 |........|........|
|00004430| 01 00 00 1f 02 22 06 41 | 72 69 61 6c 01 00 20 00 |.....".A|rial.. .|
|00004440| 00 00 13 00 00 00 1a ff | ff ff 20 01 1c 18 01 00 |........|.. .....|
|00004450| 00 22 06 41 72 69 61 6c | 01 00 7e 00 00 00 11 00 |.".Arial|..~.....|
|00004460| 00 00 1a ff ff ff 1c 18 | 01 00 00 22 06 41 72 69 |........|...".Ari|
|00004470| 61 6c 01 00 16 00 00 00 | 15 00 00 00 1a ff ff ff |al......|........|
|00004480| 1c 18 01 00 00 1e 01 1f | 02 22 06 41 72 69 61 6c |........|.".Arial|
|00004490| 01 00 02 00 00 00 13 00 | 00 00 1a ff ff ff 1c 18 |........|........|
|000044a0| 01 00 00 1f 02 22 06 41 | 72 69 61 6c 01 00 14 00 |.....".A|rial....|
|000044b0| 00 00 15 00 00 00 1a ff | ff ff 1c 18 01 00 00 1e |........|........|
|000044c0| 01 1f 02 22 06 41 72 69 | 61 6c 01 00 03 00 00 00 |...".Ari|al......|
|000044d0| 13 00 00 00 1a ff ff ff | 1c 18 01 00 00 1f 02 22 |........|......."|
|000044e0| 06 41 72 69 61 6c 01 00 | 13 00 00 00 15 00 00 00 |.Arial..|........|
|000044f0| 1a ff ff ff 1c 18 01 00 | 00 1e 01 1f 02 22 06 41 |........|.....".A|
|00004500| 72 69 61 6c 01 00 03 00 | 00 00 13 00 00 00 1a ff |rial....|........|
|00004510| ff ff 1c 18 01 00 00 1f | 02 22 06 41 72 69 61 6c |........|.".Arial|
|00004520| 01 00 18 00 00 00 15 00 | 00 00 1a ff ff ff 1c 18 |........|........|
|00004530| 01 00 00 1e 01 1f 02 22 | 06 41 72 69 61 6c 01 00 |......."|.Arial..|
|00004540| 03 00 00 00 13 00 00 00 | 1a ff ff ff 1c 18 01 00 |........|........|
|00004550| 00 1f 02 22 06 41 72 69 | 61 6c 01 00 0f 00 00 00 |...".Ari|al......|
|00004560| 15 00 00 00 1a ff ff ff | 1c 18 01 00 00 1e 01 1f |........|........|
|00004570| 02 22 06 41 72 69 61 6c | 01 00 03 00 00 00 13 00 |.".Arial|........|
|00004580| 00 00 1a ff ff ff 1c 18 | 01 00 00 1f 02 22 06 41 |........|.....".A|
|00004590| 72 69 61 6c 01 00 84 00 | 00 00 13 00 00 00 1a ff |rial....|........|
|000045a0| ff ff 1c 18 01 00 00 1f | 02 22 06 41 72 69 61 6c |........|.".Arial|
|000045b0| 01 00 01 00 00 00 00 00 | 00 00 06 4b 41 20 68 65 |........|...KA he|
|000045c0| 61 72 74 20 72 61 74 65 | 20 61 62 6f 76 65 20 74 |art rate| above t|
|000045d0| 68 65 20 6e 6f 72 6d 61 | 6c 20 72 61 6e 67 65 20 |he norma|l range |
|000045e0| 77 68 65 6e 20 61 67 65 | 20 69 73 20 20 74 61 6b |when age| is tak|
|000045f0| 65 6e 20 69 6e 74 6f 20 | 61 63 63 6f 75 6e 74 2e |en into |account.|
|00004600| 0d 06 0d 06 41 67 65 20 | 09 20 20 20 20 20 48 65 |....Age |. He|
|00004610| 61 72 74 20 52 61 74 65 | 20 2d 20 75 70 70 65 72 |art Rate| - upper|
|00004620| 20 65 6e 64 20 6f 66 20 | 6e 6f 72 6d 61 6c 20 72 | end of |normal r|
|00004630| 61 6e 67 65 0d 06 30 2d | 36 20 6d 74 68 73 20 20 |ange..0-|6 mths |
|00004640| 20 20 20 20 20 20 20 20 | 20 09 09 31 36 30 20 2f | | ..160 /|
|00004650| 20 6d 69 6e 2e 0d 06 36 | 2d 31 32 20 6d 74 68 73 | min...6|-12 mths|
|00004660| 20 20 20 20 20 20 20 20 | 09 09 31 35 30 20 2f 20 | |..150 / |
|00004670| 6d 69 6e 09 0d 06 31 2d | 32 09 09 09 31 33 30 20 |min...1-|2...130 |
|00004680| 2f 20 6d 69 6e 0d 06 32 | 2d 36 09 09 09 31 32 30 |/ min..2|-6...120|
|00004690| 20 2f 20 6d 69 6e 0d 06 | 36 2d 31 30 09 09 09 31 | / min..|6-10...1|
|000046a0| 31 30 20 2f 20 6d 69 6e | 0d 06 31 30 2d 31 34 09 |10 / min|..10-14.|
|000046b0| 09 09 31 30 30 20 2f 20 | 6d 69 6e 0d 06 0d 06 50 |..100 / |min....P|
|000046c0| 6f 73 73 69 62 6c 65 20 | 63 61 75 73 65 73 0d 06 |ossible |causes..|
|000046d0| 53 69 6e 75 73 20 74 61 | 63 68 79 63 61 72 64 69 |Sinus ta|chycardi|
|000046e0| 61 0d 06 53 75 70 72 61 | 76 65 6e 74 72 69 63 75 |a..Supra|ventricu|
|000046f0| 6c 61 72 20 20 74 61 63 | 68 79 63 61 72 64 69 61 |lar tac|hycardia|
|00004700| 0d 06 4e 6f 64 61 6c 20 | 28 20 4a 75 6e 63 74 69 |..Nodal |( Juncti|
|00004710| 6f 6e 61 6c 20 29 20 74 | 61 63 68 79 63 61 72 64 |onal ) t|achycard|
|00004720| 69 61 0d 06 56 65 6e 74 | 72 69 63 75 6c 61 72 20 |ia..Vent|ricular |
|00004730| 20 74 61 63 68 79 63 61 | 72 64 69 61 20 0d 06 0d | tachyca|rdia ...|
|00004740| 06 41 53 20 41 20 47 45 | 4e 45 52 41 4c 20 52 55 |.AS A GE|NERAL RU|
|00004750| 4c 45 2c 20 54 48 45 20 | 20 4d 41 4e 41 47 45 4d |LE, THE | MANAGEM|
|00004760| 45 4e 54 20 20 4f 46 20 | 20 41 4e 20 20 49 4e 46 |ENT OF | AN INF|
|00004770| 41 4e 54 20 20 4f 52 20 | 20 43 48 49 4c 44 20 20 |ANT OR | CHILD |
|00004780| 57 49 54 48 20 20 41 20 | 20 44 59 53 52 48 59 54 |WITH A | DYSRHYT|
|00004790| 48 4d 49 41 20 20 20 53 | 48 4f 55 4c 44 20 20 42 |HMIA S|HOULD B|
|000047a0| 45 20 20 44 49 53 43 55 | 53 53 45 44 20 20 57 49 |E DISCU|SSED WI|
|000047b0| 54 48 20 20 54 48 45 20 | 20 50 41 45 44 49 41 54 |TH THE | PAEDIAT|
|000047c0| 52 49 43 20 20 43 41 52 | 44 49 4f 4c 4f 47 49 53 |RIC CAR|DIOLOGIS|
|000047d0| 54 20 20 4f 4e 20 20 43 | 41 4c 4c 20 20 42 45 46 |T ON C|ALL BEF|
|000047e0| 4f 52 45 20 20 53 54 41 | 52 54 49 4e 47 20 20 54 |ORE STA|RTING T|
|000047f0| 48 45 20 20 54 52 45 41 | 54 4d 45 4e 54 20 20 45 |HE TREA|TMENT E|
|00004800| 58 43 45 50 54 20 20 49 | 4e 20 20 41 20 20 47 52 |XCEPT I|N A GR|
|00004810| 41 56 45 20 20 45 4d 45 | 52 47 45 4e 43 59 2e 0d |AVE EME|RGENCY..|
|00004820| 06 0d 06 53 69 6e 75 73 | 20 74 61 63 68 79 63 61 |...Sinus| tachyca|
|00004830| 72 64 69 61 0d 06 66 65 | 76 65 72 2c 20 20 61 6e |rdia..fe|ver, an|
|00004840| 78 69 65 74 79 2c 20 68 | 79 70 6f 78 69 61 2c 20 |xiety, h|ypoxia, |
|00004850| 68 65 61 72 74 20 20 66 | 61 69 6c 75 72 65 2c 0d |heart f|ailure,.|
|00004860| 06 64 65 68 79 64 72 61 | 74 69 6f 6e 20 2b 20 6f |.dehydra|tion + o|
|00004870| 74 68 65 72 20 20 63 61 | 75 73 65 73 20 6f 66 20 |ther ca|uses of |
|00004880| 20 20 68 79 70 6f 76 6f | 6c 61 65 6d 69 61 0d 06 | hypovo|laemia..|
|00004890| 6d 79 6f 63 61 72 64 69 | 74 69 73 2c 20 70 65 72 |myocardi|tis, per|
|000048a0| 69 63 61 72 64 69 74 69 | 73 20 0d 06 48 65 61 72 |icarditi|s ..Hear|
|000048b0| 74 20 72 61 74 65 20 3a | 20 20 75 70 20 20 74 6f |t rate :| up to|
|000048c0| 20 20 32 30 30 20 2f 20 | 6d 69 6e 2e 20 69 6e 20 | 200 / |min. in |
|000048d0| 20 61 6e 20 20 69 6e 66 | 61 6e 74 2e 0d 06 51 52 | an inf|ant...QR|
|000048e0| 53 20 63 6f 6d 70 6c 65 | 78 20 3a 20 20 65 61 63 |S comple|x : eac|
|000048f0| 68 20 20 69 73 20 20 70 | 72 65 63 65 64 65 64 20 |h is p|receded |
|00004900| 20 62 79 20 20 61 20 20 | 50 20 20 77 61 76 65 2e | by a |P wave.|
|00004910| 0d 06 51 52 53 20 20 77 | 61 76 65 73 20 20 61 72 |..QRS w|aves ar|
|00004920| 65 20 20 69 64 65 6e 74 | 69 63 61 6c 2e 0d 06 50 |e ident|ical...P|
|00004930| 20 77 61 76 65 73 20 3a | 20 61 6c 6c 20 20 61 72 | waves :| all ar|
|00004940| 65 20 20 69 64 65 6e 74 | 69 63 61 6c 0d 06 4f 6e |e ident|ical..On|
|00004950| 73 65 74 20 3a 20 20 6f | 66 74 65 6e 20 20 61 20 |set : o|ften a |
|00004960| 20 68 69 73 74 6f 72 79 | 20 20 6f 66 20 20 72 65 | history| of re|
|00004970| 63 65 6e 74 20 20 69 6c | 6c 6e 65 73 73 2e 0d 06 |cent il|lness...|
|00004980| 0d 06 4d 61 6e 61 67 65 | 6d 65 6e 74 20 6f 66 20 |..Manage|ment of |
|00004990| 73 69 6e 75 73 20 74 61 | 63 68 79 63 61 72 64 69 |sinus ta|chycardi|
|000049a0| 61 0d 06 64 65 70 65 6e | 64 73 20 20 6f 6e 20 20 |a..depen|ds on |
|000049b0| 74 68 65 20 20 75 6e 64 | 65 72 6c 79 69 6e 67 20 |the und|erlying |
|000049c0| 20 63 61 75 73 65 2e 54 | 68 65 20 20 68 65 61 72 | cause.T|he hear|
|000049d0| 74 20 20 72 61 74 65 20 | 20 66 61 6c 6c 73 20 20 |t rate | falls |
|000049e0| 77 69 74 68 20 20 74 72 | 65 61 74 6d 65 6e 74 20 |with tr|eatment |
|000049f0| 20 6f 66 20 20 74 68 65 | 20 20 75 6e 64 65 72 6c | of the| underl|
|00004a00| 79 69 6e 67 20 20 69 6c | 6c 6e 65 73 73 2e 0d 06 |ying il|lness...|
|00004a10| 0d 06 53 75 70 72 61 76 | 65 6e 74 72 69 63 75 6c |..Suprav|entricul|
|00004a20| 61 72 20 20 74 61 63 68 | 79 63 61 72 64 69 61 0d |ar tach|ycardia.|
|00004a30| 06 48 65 61 72 74 20 72 | 61 74 65 20 3a 20 6f 76 |.Heart r|ate : ov|
|00004a40| 65 72 20 20 32 32 30 20 | 2f 20 6d 69 6e 2e 20 55 |er 220 |/ min. U|
|00004a50| 70 20 20 74 6f 20 33 30 | 30 20 2f 20 6d 69 6e 2e |p to 30|0 / min.|
|00004a60| 20 69 6e 20 61 6e 20 69 | 6e 66 61 6e 74 2e 0d 06 | in an i|nfant...|
|00004a70| 51 52 53 20 63 6f 6d 70 | 6c 65 78 65 73 20 3a 20 |QRS comp|lexes : |
|00004a80| 20 61 6c 6c 20 20 61 72 | 65 20 20 69 64 65 6e 74 | all ar|e ident|
|00004a90| 69 63 61 6c 20 20 69 6e | 20 20 61 70 70 65 61 72 |ical in| appear|
|00004aa0| 61 6e 63 65 2e 20 49 6e | 20 20 39 35 25 20 6f 66 |ance. In| 95% of|
|00004ab0| 20 20 63 61 73 65 73 20 | 20 74 68 65 20 20 63 6f | cases | the co|
|00004ac0| 6d 70 6c 65 78 20 20 69 | 73 20 20 6e 61 72 72 6f |mplex i|s narro|
|00004ad0| 77 2e 20 49 66 20 20 74 | 68 65 20 20 63 6f 6d 70 |w. If t|he comp|
|00004ae0| 6c 65 78 20 20 69 73 20 | 20 62 72 6f 61 64 20 20 |lex is | broad |
|00004af0| 74 68 65 6e 20 20 76 65 | 6e 74 72 69 63 75 6c 61 |then ve|ntricula|
|00004b00| 72 20 20 74 61 63 68 79 | 63 61 72 64 69 61 20 20 |r tachy|cardia |
|00004b10| 6d 75 73 74 20 20 62 65 | 20 20 63 6f 6e 73 69 64 |must be| consid|
|00004b20| 65 72 65 64 2e 0d 06 50 | 20 77 61 76 65 73 20 3a |ered...P| waves :|
|00004b30| 20 6d 61 79 20 6e 6f 74 | 20 62 65 20 76 69 73 69 | may not| be visi|
|00004b40| 62 6c 65 20 64 75 65 20 | 74 6f 20 74 68 65 20 74 |ble due |to the t|
|00004b50| 61 63 68 79 63 61 72 64 | 69 61 2c 20 6d 61 79 20 |achycard|ia, may |
|00004b60| 62 65 20 76 69 73 69 62 | 6c 65 20 62 75 74 20 6c |be visib|le but l|
|00004b70| 6f 6f 6b 20 61 62 6e 6f | 72 6d 61 6c 20 2c 20 6f |ook abno|rmal , o|
|00004b80| 72 20 6d 61 79 20 6c 6f | 6f 6b 20 6e 6f 72 6d 61 |r may lo|ok norma|
|00004b90| 6c 2e 20 28 20 69 6e 20 | 74 68 69 73 20 63 61 73 |l. ( in |this cas|
|00004ba0| 65 20 74 68 65 20 68 65 | 61 72 74 20 72 61 74 65 |e the he|art rate|
|00004bb0| 20 68 65 6c 70 73 20 64 | 69 66 66 65 72 65 6e 74 | helps d|ifferent|
|00004bc0| 69 61 74 65 20 53 56 54 | 20 61 6e 64 20 73 69 6e |iate SVT| and sin|
|00004bd0| 75 73 20 74 61 63 68 79 | 63 61 72 64 69 61 2e 29 |us tachy|cardia.)|
|00004be0| 20 0d 06 4f 74 68 65 72 | 20 20 66 65 61 74 75 72 | ..Other| featur|
|00004bf0| 65 73 20 3a 20 54 68 65 | 20 20 63 68 69 6c 64 20 |es : The| child |
|00004c00| 20 6d 61 79 20 20 62 65 | 20 20 20 77 65 6c 6c 20 | may be| well |
|00004c10| 20 6f 72 20 20 68 61 76 | 65 20 20 20 73 69 67 6e | or hav|e sign|
|00004c20| 73 20 20 6f 66 20 20 68 | 65 61 72 74 20 20 66 61 |s of h|eart fa|
|00004c30| 69 6c 75 72 65 2e 20 54 | 68 65 20 6f 6e 73 65 74 |ilure. T|he onset|
|00004c40| 20 61 6e 64 20 63 65 73 | 73 61 74 69 6f 6e 20 69 | and ces|sation i|
|00004c50| 73 20 73 75 64 64 65 6e | 2e 20 49 6e 20 20 37 30 |s sudden|. In 70|
|00004c60| 2d 38 30 25 20 6f 66 20 | 20 63 61 73 65 73 20 20 |-80% of | cases |
|00004c70| 74 68 65 20 20 68 65 61 | 72 74 20 20 69 73 20 20 |the hea|rt is |
|00004c80| 73 74 72 75 63 74 75 72 | 61 6c 6c 79 20 20 6e 6f |structur|ally no|
|00004c90| 72 6d 61 6c 2e 57 68 65 | 6e 20 20 73 69 6e 75 73 |rmal.Whe|n sinus|
|00004ca0| 20 20 72 68 79 74 68 6d | 20 20 69 73 20 20 72 65 | rhythm| is re|
|00004cb0| 73 75 6d 65 64 2c 20 74 | 68 65 6e 20 20 61 20 73 |sumed, t|hen a s|
|00004cc0| 6c 6f 77 20 20 75 70 73 | 74 72 6f 6b 65 20 6f 6e |low ups|troke on|
|00004cd0| 20 74 68 65 20 51 52 53 | 20 6d 61 79 20 62 65 20 | the QRS| may be |
|00004ce0| 73 65 65 6e 20 28 20 64 | 65 6c 74 61 20 77 61 76 |seen ( d|elta wav|
|00004cf0| 65 20 29 20 77 69 74 68 | 20 61 20 73 68 6f 72 74 |e ) with| a short|
|00004d00| 20 50 52 20 69 6e 74 65 | 72 76 61 6c 20 28 20 57 | PR inte|rval ( W|
|00004d10| 6f 6c 66 66 20 2d 20 50 | 61 72 6b 69 6e 73 6f 6e |olff - P|arkinson|
|00004d20| 2d 57 68 69 74 65 29 2e | 20 0d 06 33 30 20 2d 20 |-White).| ..30 - |
|00004d30| 34 30 25 20 6f 66 20 63 | 68 69 6c 64 72 65 6e 20 |40% of c|hildren |
|00004d40| 77 69 74 68 20 53 56 54 | 20 70 72 65 73 65 6e 74 |with SVT| present|
|00004d50| 20 69 6e 20 20 74 68 65 | 20 66 69 72 73 74 20 77 | in the| first w|
|00004d60| 65 65 6b 73 20 6f 66 20 | 6c 69 66 65 2e 0d 06 0d |eeks of |life....|
|00004d70| 06 4d 61 6e 61 67 65 6d | 65 6e 74 20 6f 66 20 53 |.Managem|ent of S|
|00004d80| 56 54 0d 06 41 2e 20 47 | 65 6e 65 72 61 6c 0d 06 |VT..A. G|eneral..|
|00004d90| 4d 6f 6e 69 74 6f 72 20 | 70 75 6c 73 65 20 72 61 |Monitor |pulse ra|
|00004da0| 74 65 2c 20 42 50 2c 20 | 53 61 4f 32 20 61 6e 64 |te, BP, |SaO2 and|
|00004db0| 20 63 61 72 64 69 61 63 | 20 72 68 79 74 68 6d 2e | cardiac| rhythm.|
|00004dc0| 0d 06 45 73 74 61 62 6c | 69 73 68 20 20 69 6e 74 |..Establ|ish int|
|00004dd0| 72 61 76 65 6e 6f 75 73 | 20 6f 72 20 69 6e 74 65 |ravenous| or inte|
|00004de0| 72 6f 73 73 65 6f 75 73 | 20 6c 69 6e 65 2e 0d 06 |rosseous| line...|
|00004df0| 42 65 66 6f 72 65 20 20 | 61 6e 79 20 20 74 72 65 |Before |any tre|
|00004e00| 61 74 6d 65 6e 74 20 69 | 73 20 61 64 6d 69 6e 69 |atment i|s admini|
|00004e10| 73 74 65 72 65 64 2e 20 | 49 66 20 74 68 65 20 70 |stered. |If the p|
|00004e20| 61 74 69 65 6e 74 20 69 | 73 20 6e 6f 72 6d 6f 74 |atient i|s normot|
|00004e30| 65 6e 73 69 76 65 20 61 | 6e 64 20 6e 6f 74 20 69 |ensive a|nd not i|
|00004e40| 6e 20 73 65 76 65 72 65 | 20 63 6f 6e 67 65 73 74 |n severe| congest|
|00004e50| 69 76 65 20 68 65 61 72 | 74 20 66 61 69 6c 75 72 |ive hear|t failur|
|00004e60| 65 20 64 6f 63 75 6d 65 | 6e 74 20 74 68 65 20 74 |e docume|nt the t|
|00004e70| 61 63 68 79 63 61 72 64 | 69 61 20 77 69 74 68 20 |achycard|ia with |
|00004e80| 61 20 31 32 20 20 6c 65 | 61 64 20 45 43 47 20 20 |a 12 le|ad ECG |
|00004e90| 61 6e 64 20 72 68 79 74 | 68 6d 20 73 74 72 69 70 |and rhyt|hm strip|
|00004ea0| 20 62 65 66 6f 72 65 20 | 61 6e 79 20 74 72 65 61 | before |any trea|
|00004eb0| 74 6d 65 6e 74 2e 0d 06 | 0d 06 42 2e 20 44 72 75 |tment...|..B. Dru|
|00004ec0| 67 73 20 0d 06 53 65 65 | 20 20 50 61 65 64 69 61 |gs ..See| Paedia|
|00004ed0| 74 72 69 63 20 50 72 65 | 73 63 72 69 62 65 72 0d |tric Pre|scriber.|
|00004ee0| 06 56 65 6e 74 72 69 63 | 75 6c 61 72 20 74 61 63 |.Ventric|ular tac|
|00004ef0| 68 79 63 61 72 64 69 61 | 0d 06 48 65 61 72 74 20 |hycardia|..Heart |
|00004f00| 72 61 74 65 20 3a 20 76 | 61 72 69 65 73 20 20 62 |rate : v|aries b|
|00004f10| 65 74 77 65 65 6e 20 20 | 31 32 30 20 20 61 6e 64 |etween |120 and|
|00004f20| 20 20 32 35 30 2f 20 6d | 69 6e 20 50 20 77 61 76 | 250/ m|in P wav|
|00004f30| 65 0d 06 50 20 77 61 76 | 65 20 3a 20 6e 6f 6e 65 |e..P wav|e : none|
|00004f40| 0d 06 51 52 53 20 63 6f | 6d 70 6c 65 78 65 73 20 |..QRS co|mplexes |
|00004f50| 3a 20 20 77 69 64 65 20 | 69 6e 20 61 70 70 65 61 |: wide |in appea|
|00004f60| 72 61 6e 63 65 20 2e 56 | 65 72 79 20 20 6f 63 63 |rance .V|ery occ|
|00004f70| 61 73 69 6f 6e 61 6c 6c | 79 2c 20 61 20 77 69 64 |asionall|y, a wid|
|00004f80| 65 20 51 52 53 20 63 6f | 6d 70 6c 65 78 20 6d 61 |e QRS co|mplex ma|
|00004f90| 79 20 62 65 20 64 75 65 | 20 74 6f 20 61 20 20 73 |y be due| to a s|
|00004fa0| 75 70 72 61 76 65 6e 74 | 72 69 63 75 6c 61 72 20 |upravent|ricular |
|00004fb0| 74 61 63 68 79 63 61 72 | 64 69 61 2e 20 49 66 20 |tachycar|dia. If |
|00004fc0| 74 68 65 20 70 61 74 69 | 65 6e 74 20 20 69 73 20 |the pati|ent is |
|00004fd0| 73 74 61 62 6c 65 2c 20 | 74 72 79 20 61 64 65 6e |stable, |try aden|
|00004fe0| 6f 73 69 6e 65 20 74 6f | 20 64 69 73 74 69 6e 67 |osine to| disting|
|00004ff0| 75 69 73 68 20 62 65 74 | 77 65 65 6e 20 74 68 65 |uish bet|ween the|
|00005000| 20 74 77 6f 2e 20 55 6e | 73 74 61 62 6c 65 20 20 | two. Un|stable |
|00005010| 70 61 74 69 65 6e 74 73 | 20 73 68 6f 75 6c 64 20 |patients| should |
|00005020| 62 65 20 20 74 72 65 61 | 74 65 64 20 61 73 20 69 |be trea|ted as i|
|00005030| 66 20 74 68 65 79 20 68 | 61 64 20 76 65 6e 74 72 |f they h|ad ventr|
|00005040| 69 63 75 6c 61 72 20 74 | 61 63 68 79 63 61 72 64 |icular t|achycard|
|00005050| 69 61 2e 0d 06 0d 06 4d | 61 6e 61 67 65 6d 65 6e |ia.....M|anagemen|
|00005060| 74 20 6f 66 20 76 65 6e | 74 72 69 63 75 6c 61 72 |t of ven|tricular|
|00005070| 20 74 61 63 68 79 63 61 | 72 64 69 61 20 0d 06 41 | tachyca|rdia ..A|
|00005080| 2e 20 47 65 6e 65 72 61 | 6c 20 2d 20 73 65 65 20 |. Genera|l - see |
|00005090| 20 75 6e 64 65 72 20 53 | 56 54 20 0d 06 42 2e 20 | under S|VT ..B. |
|000050a0| 44 72 75 67 73 20 2d 20 | 73 65 65 20 50 61 65 64 |Drugs - |see Paed|
|000050b0| 69 61 74 72 69 63 20 50 | 72 65 73 63 72 69 62 65 |iatric P|rescribe|
|000050c0| 72 06 43 49 04 00 00 00 | 00 00 02 01 00 00 00 0f |r.CI....|........|
|000050d0| 00 00 00 07 b4 00 00 00 | 0a 00 00 00 00 16 d0 02 |........|........|
|000050e0| 00 00 13 00 00 00 1a ff | ff ff 1c 18 01 00 00 1f |........|........|
|000050f0| 02 22 06 41 72 69 61 6c | 01 02 00 00 00 0f 00 00 |.".Arial|........|
|00005100| 00 07 b4 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00005110| 15 00 00 00 1a ff ff ff | 1c 18 01 00 00 1e 01 1f |........|........|
|00005120| 02 22 06 41 72 69 61 6c | 01 36 00 00 00 46 00 00 |.".Arial|.6...F..|
|00005130| 00 01 02 00 00 00 01 32 | 00 00 00 00 0f 00 00 00 |.......2|........|
|00005140| 07 b4 00 00 00 0a 00 00 | 00 00 16 d0 02 00 00 04 |........|........|
|00005150| 00 00 00 21 00 00 00 01 | 1f 00 00 00 01 11 00 00 |...!....|........|
|00005160| 00 01 11 00 00 00 01 12 | 00 00 00 01 13 00 00 00 |........|........|
|00005170| 01 02 00 00 00 02 11 00 | 00 00 00 0f 00 00 00 07 |........|........|
|00005180| b4 00 00 00 0a 00 00 00 | 00 16 d0 02 00 00 02 00 |........|........|
|00005190| 00 00 13 00 00 00 01 1f | 00 00 00 01 22 00 00 00 |........|...."...|
|000051a0| 01 1b 00 00 00 01 02 00 | 00 00 02 e0 00 00 00 00 |........|........|
|000051b0| 0f 00 00 00 07 b4 00 00 | 00 0a 00 00 00 00 16 d0 |........|........|
|000051c0| 02 00 00 02 00 00 00 02 | 00 00 00 02 13 00 00 00 |........|........|
|000051d0| 02 2b 00 00 00 01 2f 00 | 00 00 01 1c 00 00 00 01 |.+..../.|........|
|000051e0| 32 00 00 00 00 0f 00 00 | 00 07 b4 00 00 00 0a 00 |2.......|........|
|000051f0| 00 00 00 16 d0 02 00 00 | 02 00 00 00 34 00 00 00 |........|....4...|
|00005200| 00 0f 00 00 00 07 b4 00 | 00 00 0a 00 00 00 00 16 |........|........|
|00005210| d0 02 00 00 02 00 00 00 | 1d 00 00 00 01 1f 00 00 |........|........|
|00005220| 00 00 0f 00 00 00 07 b4 | 00 00 00 0a 00 00 00 00 |........|........|
|00005230| 16 d0 02 00 00 02 00 00 | 00 32 00 00 00 00 0f 00 |........|.2......|
|00005240| 00 00 07 b4 00 00 00 0a | 00 00 00 00 16 d0 02 00 |........|........|
|00005250| 00 04 00 00 00 02 00 00 | 00 02 21 00 00 00 02 6d |........|..!....m|
|00005260| 00 00 00 01 02 00 00 00 | 01 1f 00 00 00 00 0f 00 |........|........|
|00005270| 00 00 07 b4 00 00 00 0a | 00 00 00 00 16 d0 02 00 |........|........|
|00005280| 00 02 00 00 00 3f 00 00 | 00 00 0f 00 00 00 07 b4 |.....?..|........|
|00005290| 00 00 00 0a 00 00 00 00 | 16 d0 02 00 00 02 00 00 |........|........|
|000052a0| 00 b7 00 00 00 00 0f 00 | 00 00 07 b4 00 00 00 0a |........|........|
|000052b0| 00 00 00 00 16 d0 02 00 | 00 04 00 00 00 bc 00 00 |........|........|
|000052c0| 00 00 0f 00 00 00 07 b4 | 00 00 00 0a 00 00 00 00 |........|........|
|000052d0| 16 d0 02 00 00 02 00 00 | 00 48 01 00 00 00 0f 00 |........|.H......|
|000052e0| 00 00 07 b4 00 00 00 0a | 00 00 00 00 16 d0 02 00 |........|........|
|000052f0| 00 08 00 00 00 44 00 00 | 00 01 02 00 00 00 01 13 |.....D..|........|
|00005300| 00 00 00 02 0c 00 00 00 | 00 0f 00 00 00 07 b4 00 |........|........|
|00005310| 00 00 0a 00 00 00 00 16 | d0 02 00 00 02 00 00 00 |........|........|
|00005320| 32 00 00 00 01 2e 00 00 | 00 01 c8 00 00 00 01 02 |2.......|........|
|00005330| 00 00 00 01 0b 00 00 00 | 00 0f 00 00 00 07 b4 00 |........|........|
|00005340| 00 00 0a 00 00 00 00 16 | d0 02 00 00 02 00 00 00 |........|........|
|00005350| 1c 00 00 00 01 19 00 00 | 00 02 39 00 00 00 00 0f |........|..9.....|
|00005360| 00 00 00 07 b4 00 00 00 | 0a 00 00 00 00 16 d0 02 |........|........|
|00005370| 00 00 04 00 00 00 0f 00 | 00 00 00 0f 00 00 00 07 |........|........|
|00005380| b4 00 00 00 0a 00 00 00 | 00 16 d0 02 00 00 02 00 |........|........|
|00005390| 00 00 13 01 00 00 00 0f | 00 00 00 07 b4 00 00 00 |........|........|
|000053a0| 0a 00 00 00 00 16 d0 02 | 00 00 02 00 00 00 02 00 |........|........|
|000053b0| 00 00 02 28 00 00 00 00 | 0f 00 00 00 07 b4 00 00 |...(....|........|
|000053c0| 00 0a 00 00 00 00 16 d0 | 02 00 00 02 00 00 00 1e |........|........|
|000053d0| 00 00 00 00 0f 00 00 00 | 07 b4 00 00 00 0a 00 00 |........|........|
|000053e0| 00 00 16 d0 02 00 00 02 | 00 00 00 25 00 00 00 00 |........|...%....|
|000053f0| 00 00 00 00 02 00 00 00 | 36 00 00 00 00 03 00 00 |........|6.......|
|00005400| 00 15 00 00 00 1a ff ff | ff 1c 18 01 00 00 1e 01 |........|........|
|00005410| 1f 02 22 06 41 72 69 61 | 6c 01 00 07 00 00 00 13 |..".Aria|l.......|
|00005420| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1f 02 22 06 |........|......".|
|00005430| 41 72 69 61 6c 01 00 0a | 00 00 00 15 00 00 00 1a |Arial...|........|
|00005440| ff ff ff 1c 18 01 00 00 | 1e 01 1f 02 22 06 41 72 |........|....".Ar|
|00005450| 69 61 6c 01 00 1e 00 00 | 00 13 00 00 00 1a ff ff |ial.....|........|
|00005460| ff 1c 18 01 00 00 1f 02 | 22 06 41 72 69 61 6c 01 |........|".Arial.|
|00005470| 00 0f 00 00 00 15 00 00 | 00 1a ff ff ff 1c 18 01 |........|........|
|00005480| 00 00 1e 01 1f 02 22 06 | 41 72 69 61 6c 01 00 02 |......".|Arial...|
|00005490| 00 00 00 13 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|000054a0| 1f 02 22 06 41 72 69 61 | 6c 01 00 dd 00 00 00 15 |..".Aria|l.......|
|000054b0| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1e 01 1f 02 |........|........|
|000054c0| 22 06 41 72 69 61 6c 01 | 00 03 00 00 00 13 00 00 |".Arial.|........|
|000054d0| 00 1a ff ff ff 1c 18 01 | 00 00 1f 02 22 06 41 72 |........|....".Ar|
|000054e0| 69 61 6c 01 00 0c 00 00 | 00 15 00 00 00 1a ff ff |ial.....|........|
|000054f0| ff 1c 18 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|00005500| 6c 01 00 26 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l..&....|........|
|00005510| 18 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 0d |......".|Arial...|
|00005520| 00 00 00 15 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|00005530| 1e 01 1f 02 22 06 41 72 | 69 61 6c 01 00 27 00 00 |....".Ar|ial..'..|
|00005540| 00 13 00 00 00 1a ff ff | ff 1c 18 01 00 00 1f 02 |........|........|
|00005550| 22 06 41 72 69 61 6c 01 | 00 07 00 00 00 15 00 00 |".Arial.|........|
|00005560| 00 1a ff ff ff 1c 18 01 | 00 00 1e 01 1f 02 22 06 |........|......".|
|00005570| 41 72 69 61 6c 01 00 18 | 00 00 00 13 00 00 00 1a |Arial...|........|
|00005580| ff ff ff 1c 18 01 00 00 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|00005590| 6c 01 00 05 00 00 00 15 | 00 00 00 1a ff ff ff 1c |l.......|........|
|000055a0| 18 01 00 00 1e 01 1f 02 | 22 06 41 72 69 61 6c 01 |........|".Arial.|
|000055b0| 00 01 00 00 00 13 00 00 | 00 1a ff ff ff 1c 18 01 |........|........|
|000055c0| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 01 00 00 |....".Ar|ial.....|
|000055d0| 00 15 00 00 00 1a ff ff | ff 1c 18 01 00 00 1e 01 |........|........|
|000055e0| 1f 02 22 06 41 72 69 61 | 6c 01 00 2b 00 00 00 13 |..".Aria|l..+....|
|000055f0| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1f 02 22 06 |........|......".|
|00005600| 41 72 69 61 6c 01 00 1d | 00 00 00 15 00 00 00 1a |Arial...|........|
|00005610| ff ff ff 1c 18 01 00 00 | 1e 01 1f 02 22 06 41 72 |........|....".Ar|
|00005620| 69 61 6c 01 00 02 00 00 | 00 13 00 00 00 1a ff ff |ial.....|........|
|00005630| ff 1c 18 01 00 00 1f 02 | 22 06 41 72 69 61 6c 01 |........|".Arial.|
|00005640| 00 0c 00 00 00 15 00 00 | 00 1a ff ff ff 1c 18 01 |........|........|
|00005650| 00 00 1e 01 1f 02 22 06 | 41 72 69 61 6c 01 00 33 |......".|Arial..3|
|00005660| 00 00 00 13 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|00005670| 1f 02 22 06 41 72 69 61 | 6c 01 00 0d 00 00 00 15 |..".Aria|l.......|
|00005680| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1e 01 1f 02 |........|........|
|00005690| 22 06 41 72 69 61 6c 01 | 00 01 00 00 00 13 00 00 |".Arial.|........|
|000056a0| 00 1a ff ff ff 1c 18 01 | 00 00 1f 02 22 06 41 72 |........|....".Ar|
|000056b0| 69 61 6c 01 00 02 00 00 | 00 15 00 00 00 1a ff ff |ial.....|........|
|000056c0| ff 1c 18 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|000056d0| 6c 01 00 a7 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|000056e0| 18 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 0a |......".|Arial...|
|000056f0| 00 00 00 15 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|00005700| 1e 01 1f 02 22 06 41 72 | 69 61 6c 01 00 b2 00 00 |....".Ar|ial.....|
|00005710| 00 13 00 00 00 1a ff ff | ff 1c 18 01 00 00 1f 02 |........|........|
|00005720| 22 06 41 72 69 61 6c 01 | 00 0f 00 00 00 15 00 00 |".Arial.|........|
|00005730| 00 1a ff ff ff 1c 18 01 | 00 00 1e 01 1f 02 22 06 |........|......".|
|00005740| 41 72 69 61 6c 01 00 01 | 00 00 00 13 00 00 00 1a |Arial...|........|
|00005750| ff ff ff 1c 18 01 00 00 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|00005760| 6c 01 00 01 00 00 00 15 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00005770| 18 01 00 00 1e 01 1f 02 | 22 06 41 72 69 61 6c 01 |........|".Arial.|
|00005780| 00 c2 00 00 00 13 00 00 | 00 1a ff ff ff 1c 18 01 |........|........|
|00005790| 00 00 1f 02 22 06 41 72 | 69 61 6c 01 00 01 00 00 |....".Ar|ial.....|
|000057a0| 00 15 00 00 00 1a ff ff | ff 1c 18 01 00 00 1e 01 |........|........|
|000057b0| 1f 02 22 06 41 72 69 61 | 6c 01 00 04 00 00 00 15 |..".Aria|l.......|
|000057c0| 00 00 00 1a ff ff ff 20 | 01 1c 18 01 00 00 1f 02 |....... |........|
|000057d0| 22 06 41 72 69 61 6c 01 | 00 01 00 00 00 15 00 00 |".Arial.|........|
|000057e0| 00 1a ff ff ff 1c 18 01 | 00 00 1e 01 1f 02 22 06 |........|......".|
|000057f0| 41 72 69 61 6c 01 00 6f | 00 00 00 13 00 00 00 1a |Arial..o|........|
|00005800| ff ff ff 1c 18 01 00 00 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|00005810| 6c 01 00 0a 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00005820| 18 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 02 |......".|Arial...|
|00005830| 00 00 00 15 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|00005840| 1e 01 1f 02 22 06 41 72 | 69 61 6c 01 00 08 00 00 |....".Ar|ial.....|
|00005850| 00 13 00 00 00 1a ff ff | ff 1c 18 01 00 00 1f 02 |........|........|
|00005860| 22 06 41 72 69 61 6c 01 | 00 03 00 00 00 15 00 00 |".Arial.|........|
|00005870| 00 1a ff ff ff 1c 18 01 | 00 00 1e 01 1f 02 22 06 |........|......".|
|00005880| 41 72 69 61 6c 01 00 0a | 00 00 00 15 00 00 00 1a |Arial...|........|
|00005890| ff ff ff 1c 18 01 00 00 | 1e 01 1f 02 22 06 41 72 |........|....".Ar|
|000058a0| 69 61 6c 01 00 01 00 00 | 00 13 00 00 00 1a ff ff |ial.....|........|
|000058b0| ff 1c 18 01 00 00 1f 02 | 22 06 41 72 69 61 6c 01 |........|".Arial.|
|000058c0| 00 01 00 00 00 15 00 00 | 00 1a ff ff ff 1c 18 01 |........|........|
|000058d0| 00 00 1e 01 1f 02 22 06 | 41 72 69 61 6c 01 00 2d |......".|Arial..-|
|000058e0| 00 00 00 13 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|000058f0| 1f 02 22 06 41 72 69 61 | 6c 01 00 08 00 00 00 15 |..".Aria|l.......|
|00005900| 00 00 00 1a ff ff ff 1c | 18 01 00 00 1e 01 1f 02 |........|........|
|00005910| 22 06 41 72 69 61 6c 01 | 00 07 00 00 00 13 00 00 |".Arial.|........|
|00005920| 00 1a ff ff ff 1c 18 01 | 00 00 1f 02 22 06 41 72 |........|....".Ar|
|00005930| 69 61 6c 01 00 0f 00 00 | 00 15 00 00 00 1a ff ff |ial.....|........|
|00005940| ff 1c 18 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|00005950| 6c 01 00 04 01 00 00 13 | 00 00 00 1a ff ff ff 1c |l.......|........|
|00005960| 18 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 25 |......".|Arial..%|
|00005970| 00 00 00 15 00 00 00 1a | ff ff ff 1c 18 01 00 00 |........|........|
|00005980| 1e 01 1f 02 22 06 41 72 | 69 61 6c 01 00 03 00 00 |....".Ar|ial.....|
|00005990| 00 13 00 00 00 1a ff ff | ff 1c 18 01 00 00 1f 02 |........|........|
|000059a0| 22 06 41 72 69 61 6c 01 | 00 1b 00 00 00 13 00 00 |".Arial.|........|
|000059b0| 00 1a ff ff ff 1c 18 01 | 00 00 1f 02 22 06 41 72 |........|....".Ar|
|000059c0| 69 61 6c 01 00 03 00 00 | 00 15 00 00 00 1a ff ff |ial.....|........|
|000059d0| ff 1c 18 01 00 00 1e 01 | 1f 02 22 06 41 72 69 61 |........|..".Aria|
|000059e0| 6c 01 00 24 00 00 00 13 | 00 00 00 1a ff ff ff 1c |l..$....|........|
|000059f0| 18 01 00 00 1f 02 22 06 | 41 72 69 61 6c 01 00 01 |......".|Arial...|
|00005a00| 00 00 00 00 00 00 00 99 | 44 49 6e 66 6c 61 6d 6d |........|DInflamm|
|00005a10| 61 74 69 6f 6e 20 6f 66 | 20 74 68 65 20 70 65 72 |ation of| the per|
|00005a20| 69 63 61 72 64 69 75 6d | 2e 20 46 6c 75 69 64 20 |icardium|. Fluid |
|00005a30| 67 61 74 68 65 72 73 20 | 69 6e 20 74 68 65 20 70 |gathers |in the p|
|00005a40| 65 72 69 63 61 72 64 69 | 61 6c 20 73 70 61 63 65 |ericardi|al space|
|00005a50| 20 61 6e 64 20 6d 61 79 | 20 63 61 75 73 65 20 63 | and may| cause c|
|00005a60| 61 72 64 69 61 63 20 74 | 61 6d 70 6f 6e 61 64 65 |ardiac t|amponade|
|00005a70| 2e 0d 06 0d 06 53 79 6d | 70 74 6f 6d 73 0d 06 09 |.....Sym|ptoms...|
|00005a80| 63 68 65 73 74 20 70 61 | 69 6e 2c 20 77 6f 72 73 |chest pa|in, wors|
|00005a90| 65 20 6c 79 69 6e 67 2c | 20 62 65 74 74 65 72 20 |e lying,| better |
|00005aa0| 73 69 74 74 69 6e 67 0d | 06 09 73 68 61 72 70 20 |sitting.|..sharp |
|00005ab0| 73 74 61 62 62 69 6e 67 | 20 70 61 69 6e 20 69 6e |stabbing| pain in|
|00005ac0| 20 74 68 65 20 6c 65 66 | 74 20 73 68 6f 75 6c 64 | the lef|t should|
|00005ad0| 65 72 0d 06 09 63 6f 75 | 67 68 0d 06 09 64 79 73 |er...cou|gh...dys|
|00005ae0| 70 6e 6f 65 61 0d 06 0d | 06 53 69 67 6e 73 28 20 |pnoea...|.Signs( |
|00005af0| 64 65 70 65 6e 64 20 6f | 6e 20 61 6d 6f 75 6e 74 |depend o|n amount|
|00005b00| 20 6f 66 20 66 6c 75 69 | 64 29 0d 06 66 65 76 65 | of flui|d)..feve|
|00005b10| 72 0d 06 74 61 63 68 79 | 63 61 72 64 69 61 0d 06 |r..tachy|cardia..|
|00005b20| 6c 6f 77 20 76 6f 6c 75 | 6d 65 20 70 75 6c 73 65 |low volu|me pulse|
|00005b30| 0d 06 64 69 73 74 61 6e | 74 20 68 65 61 72 74 20 |..distan|t heart |
|00005b40| 73 6f 75 6e 64 73 0d 06 | 66 72 69 63 74 69 6f 6e |sounds..|friction|
|00005b50| 20 72 75 62 0d 06 70 75 | 6c 73 75 73 20 70 61 72 | rub..pu|lsus par|
|00005b60| 61 64 6f 78 75 73 3e 20 | 32 30 20 6d 6d 48 67 20 |adoxus> |20 mmHg |
|00005b70| 0d 06 0d 06 43 6f 6e 73 | 74 72 69 63 74 69 76 65 |....Cons|trictive|
|00005b80| 20 70 65 72 69 63 61 72 | 64 69 74 69 73 20 69 73 | pericar|ditis is|
|00005b90| 20 72 61 72 65 2e 20 48 | 65 70 61 74 6f 6d 65 67 | rare. H|epatomeg|
|00005ba0| 61 6c 79 20 61 6e 64 20 | 61 73 63 69 74 65 73 20 |aly and |ascites |
|00005bb0| 61 72 65 20 6f 75 74 20 | 6f 66 20 70 72 6f 70 6f |are out |of propo|
|00005bc0| 72 74 69 6f 6e 20 74 6f | 20 74 68 65 20 6f 74 68 |rtion to| the oth|
|00005bd0| 65 72 20 73 69 67 6e 73 | 20 61 6e 64 20 73 79 6d |er signs| and sym|
|00005be0| 70 74 6f 6d 73 2e 0d 06 | 0d 06 50 6f 73 73 69 62 |ptoms...|..Possib|
|00005bf0| 6c 65 20 63 61 75 73 65 | 73 0d 06 49 6e 66 65 63 |le cause|s..Infec|
|00005c00| 74 69 6f 6e 73 20 20 20 | 20 0d 06 4b 61 77 61 73 |tions | ..Kawas|
|00005c10| 61 6b 61 69 20 44 69 73 | 65 61 73 65 20 20 20 20 |akai Dis|ease |
|00005c20| 0d 06 4e 65 6f 70 6c 61 | 73 74 69 63 0d 06 43 6f |..Neopla|stic..Co|
|00005c30| 6e 6e 65 63 74 69 76 65 | 20 74 69 73 73 75 65 20 |nnective| tissue |
|00005c40| 64 69 73 65 61 73 65 20 | 20 20 20 20 0d 06 4d 65 |disease | ..Me|
|00005c50| 74 61 62 6f 6c 69 63 20 | 2f 20 65 6e 64 6f 63 72 |tabolic |/ endocr|
|00005c60| 69 6e 65 0d 06 54 72 61 | 75 6d 61 20 6f 72 20 73 |ine..Tra|uma or s|
|00005c70| 75 72 67 65 72 79 20 20 | 09 09 0d 06 50 6f 73 74 |urgery |....Post|
|00005c80| 20 72 61 64 69 6f 74 68 | 65 72 61 70 79 0d 06 0d | radioth|erapy...|
|00005c90| 06 0d 06 0d 06 0d 06 49 | 6e 76 65 73 74 69 67 61 |.......I|nvestiga|
|00005ca0| 74 69 6f 6e 73 0d 06 31 | 2e 09 43 68 65 73 74 20 |tions..1|..Chest |
|00005cb0| 58 2d 72 61 79 2e 20 41 | 20 72 65 6c 61 74 69 76 |X-ray. A| relativ|
|00005cc0| 65 6c 79 20 6c 61 72 67 | 65 20 65 66 66 75 73 69 |ely larg|e effusi|
|00005cd0| 6f 6e 20 6d 75 73 74 20 | 62 65 20 70 72 65 73 65 |on must |be prese|
|00005ce0| 6e 74 20 62 65 66 6f 72 | 65 20 74 68 65 20 63 61 |nt befor|e the ca|
|00005cf0| 72 64 69 61 63 20 73 68 | 61 64 6f 77 20 65 6e 6c |rdiac sh|adow enl|
|00005d00| 61 72 67 65 73 2e 20 54 | 68 65 20 6c 75 6e 67 20 |arges. T|he lung |
|00005d10| 66 69 65 6c 64 73 20 61 | 72 65 20 75 73 75 61 6c |fields a|re usual|
|00005d20| 6c 79 20 63 6c 65 61 72 | 2e 20 57 69 74 68 20 63 |ly clear|. With c|
|00005d30| 6f 6e 73 74 72 69 63 74 | 69 76 65 20 70 65 72 69 |onstrict|ive peri|
|00005d40| 63 61 72 64 69 74 69 73 | 20 74 68 65 20 68 65 61 |carditis| the hea|
|00005d50| 72 74 20 20 73 68 61 64 | 6f 77 20 69 73 20 72 65 |rt shad|ow is re|
|00005d60| 6c 61 74 69 76 65 6c 79 | 20 73 6d 61 6c 6c 2e 20 |latively| small. |
|00005d70| 43 61 6c 63 69 66 69 63 | 61 74 69 6f 6e 20 6d 61 |Calcific|ation ma|
|00005d80| 79 20 62 65 20 70 72 65 | 73 65 6e 74 2e 0d 06 32 |y be pre|sent...2|
|00005d90| 2e 09 45 43 47 2e 20 4c | 6f 77 20 76 6f 6c 74 61 |..ECG. L|ow volta|
|00005da0| 67 65 20 51 52 53 20 63 | 6f 6d 70 6c 65 78 65 73 |ge QRS c|omplexes|
|00005db0| 2c 20 67 65 6e 65 72 61 | 6c 69 73 65 64 20 54 20 |, genera|lised T |
|00005dc0| 77 61 76 65 20 69 6e 76 | 65 72 73 69 6f 6e 2c 20 |wave inv|ersion, |
|00005dd0| 53 54 20 73 65 67 6d 65 | 6e 74 20 63 68 61 6e 67 |ST segme|nt chang|
|00005de0| 65 73 2e 0d 06 33 2e 09 | 45 63 68 6f 63 61 72 64 |es...3..|Echocard|
|00005df0| 69 6f 67 72 61 70 68 79 | 0d 06 34 2e 09 46 75 6c |iography|..4..Ful|
|00005e00| 6c 20 62 6c 6f 6f 64 20 | 63 6f 75 6e 74 2e 20 20 |l blood |count. |
|00005e10| 42 6c 6f 6f 64 20 63 75 | 6c 74 75 72 65 73 2e 20 |Blood cu|ltures. |
|00005e20| 0d 06 20 56 69 72 61 6c | 20 74 69 74 72 65 73 28 |.. Viral| titres(|
|00005e30| 20 70 61 69 72 65 64 29 | 2e 0d 06 35 2e 09 43 6f | paired)|...5..Co|
|00005e40| 6e 73 69 64 65 72 20 66 | 75 6e 67 61 6c 20 63 75 |nsider f|ungal cu|
|00005e50| 6c 74 75 72 65 73 2e 0d | 06 36 2e 09 43 6f 6e 73 |ltures..|.6..Cons|
|00005e60| 69 64 65 72 20 54 42 20 | 73 63 72 65 65 6e 69 6e |ider TB |screenin|
|00005e70| 67 2e 0d 06 0d 06 4d 61 | 6e 61 67 65 6d 65 6e 74 |g.....Ma|nagement|
|00005e80| 0d 06 44 69 73 63 75 73 | 73 20 77 69 74 68 20 74 |..Discus|s with t|
|00005e90| 68 65 20 63 61 72 64 69 | 6f 6c 6f 67 69 73 74 73 |he cardi|ologists|
|00005ea0| 2e 06 07 49 04 00 00 00 | 00 00 05 01 00 00 00 0f |...I....|........|
|00005eb0| 00 00 00 07 b4 00 00 00 | 0a 00 00 00 00 16 d0 02 |........|........|
|00005ec0| 00 00 13 00 00 00 1a ff | ff ff 1c 40 01 00 00 1f |........|...@....|
|00005ed0| 02 22 06 41 72 69 61 6c | 01 02 00 00 00 0f 00 00 |.".Arial|........|
|00005ee0| 00 07 b4 00 00 00 0a 00 | 00 00 00 16 d0 02 00 00 |........|........|
|00005ef0| 15 00 00 00 1a ff ff ff | 1c 40 01 00 00 1e 01 1f |........|.@......|
|00005f00| 02 22 06 41 72 69 61 6c | 01 03 00 00 00 3e 00 00 |.".Arial|.....>..|
|00005f10| 00 02 1b 01 00 00 04 e5 | fe ff ff 07 b4 00 00 00 |........|........|
|00005f20| 0a 00 00 00 00 17 1b 01 | 00 00 01 17 d0 02 00 00 |........|........|
|00005f30| 01 17 a0 05 00 00 01 17 | 70 08 00 00 01 17 40 0b |........|p.....@.|
|00005f40| 00 00 01 17 10 0e 00 00 | 01 17 e0 10 00 00 01 11 |........|........|
|00005f50| 00 00 00 1a ff ff ff 1c | 40 01 00 00 22 06 41 72 |........|@...".Ar|
|00005f60| 69 61 6c 01 04 00 00 00 | 21 00 00 00 07 b4 00 00 |ial.....|!.......|
|00005f70| 00 0a 00 00 00 00 16 d0 | 02 00 00 15 10 40 01 00 |........|.....@..|
|00005f80| 00 95 00 00 00 00 06 41 | 72 69 61 6c 00 11 00 00 |.......A|rial....|
|00005f90| 00 1a ff ff ff 1c 40 01 | 00 00 22 06 41 72 69 61 |......@.|..".Aria|
|00005fa0| 6c 01 05 00 00 00 50 00 | 00 00 02 1b 01 00 00 04 |l.....P.|........|
|00005fb0| e5 fe ff ff 07 b4 00 00 | 00 0a 00 00 00 00 17 1b |........|........|
|00005fc0| 01 00 00 01 17 d0 02 00 | 00 01 17 a0 05 00 00 01 |........|........|
|00005fd0| 17 70 08 00 00 01 17 40 | 0b 00 00 01 17 10 0e 00 |.p.....@|........|
|00005fe0| 00 01 17 e0 10 00 00 01 | 15 10 40 01 00 00 95 00 |........|..@.....|
|00005ff0| 00 00 00 06 41 72 69 61 | 6c 00 11 00 00 00 1a ff |....Aria|l.......|
|00006000| ff ff 1c 40 01 00 00 22 | 06 41 72 69 61 6c 01 29 |...@..."|.Arial.)|
|00006010| 00 00 00 6a 00 00 00 01 | 02 00 00 00 02 0a 00 00 |...j....|........|
|00006020| 00 00 0f 00 00 00 07 b4 | 00 00 00 0a 00 00 00 00 |........|........|
|00006030| 16 d0 02 00 00 02 00 00 | 00 2a 00 00 00 00 50 00 |........|.*....P.|
|00006040| 00 00 02 1b 01 00 00 04 | e5 fe ff ff 07 b4 00 00 |........|........|
|00006050| 00 0a 00 00 00 00 17 1b | 01 00 00 01 17 d0 02 00 |........|........|
|00006060| 00 01 17 a0 05 00 00 01 | 17 70 08 00 00 01 17 40 |........|.p.....@|
|00006070| 0b 00 00 01 17 10 0e 00 | 00 01 17 e0 10 00 00 01 |........|........|
|00006080| 15 10 40 01 00 00 95 00 | 00 00 00 06 41 72 69 61 |..@.....|....Aria|
|00006090| 6c 00 04 00 00 00 2b 00 | 00 00 00 50 00 00 00 02 |l.....+.|...P....|
|000060a0| 1b 01 00 00 04 e5 fe ff | ff 07 b4 00 00 00 0a 00 |........|........|
|000060b0| 00 00 00 17 1b 01 00 00 | 01 17 d0 02 00 00 01 17 |........|........|
|000060c0| a0 05 00 00 01 17 70 08 | 00 00 01 17 40 0b 00 00 |......p.|....@...|
|000060d0| 01 17 10 0e 00 00 01 17 | e0 10 00 00 01 15 10 40 |........|.......@|
|000060e0| 01 00 00 95 00 00 00 00 | 06 41 72 69 61 6c 00 02 |........|.Arial..|
|000060f0| 00 00 00 08 00 00 00 00 | 50 00 00 00 02 1b 01 00 |........|P.......|
|00006100| 00 04 e5 fe ff ff 07 b4 | 00 00 00 0a 00 00 00 00 |........|........|
|00006110| 17 1b 01 00 00 01 17 d0 | 02 00 00 01 17 a0 05 00 |........|........|
|00006120| 00 01 17 70 08 00 00 01 | 17 40 0b 00 00 01 17 10 |...p....|.@......|
|00006130| 0e 00 00 01 17 e0 10 00 | 00 01 15 10 40 01 00 00 |........|....@...|
|00006140| 95 00 00 00 00 06 41 72 | 69 61 6c 00 02 00 00 00 |......Ar|ial.....|
|00006150| 0b 00 00 00 00 50 00 00 | 00 02 1b 01 00 00 04 e5 |.....P..|........|
|00006160| fe ff ff 07 b4 00 00 00 | 0a 00 00 00 00 17 1b 01 |........|........|
|00006170| 00 00 01 17 d0 02 00 00 | 01 17 a0 05 00 00 01 17 |........|........|
|00006180| 70 08 00 00 01 17 40 0b | 00 00 01 17 10 0e 00 00 |p.....@.|........|
|00006190| 01 17 e0 10 00 00 01 15 | 10 40 01 00 00 95 00 00 |........|.@......|
|000061a0| 00 00 06 41 72 69 61 6c | 00 02 00 00 00 02 00 00 |...Arial|........|
|000061b0| 00 02 23 00 00 00 00 0f | 00 00 00 07 b4 00 00 00 |..#.....|........|
|000061c0| 0a 00 00 00 00 16 d0 02 | 00 00 02 00 00 00 07 00 |........|........|
|000061d0| 00 00 05 0d 00 00 00 05 | 12 00 00 00 05 16 00 00 |........|........|
|000061e0| 00 05 0e 00 00 00 05 1c | 00 00 00 04 02 00 00 00 |........|........|
|000061f0| 01 74 00 00 00 00 0f 00 | 00 00 07 b4 00 00 00 0a |.t......|........|
|00006200| 00 00 00 00 16 d0 02 00 | 00 02 00 00 00 02 00 00 |........|........|
|00006210| 00 02 11 00 00 00 02 10 | 00 00 00 01 17 00 00 00 |........|........|
|00006220| 01 0c 00 00 00 01 20 00 | 00 00 01 17 00 00 00 01 |...... .|........|
|00006230| 17 00 00 00 01 13 00 00 | 00 01 02 00 00 00 02 02 |........|........|
|00006240| 00 00 00 02 02 00 00 00 | 02 02 00 00 00 02 10 00 |........|........|
|00006250| 00 00 00 0f 00 00 00 07 | b4 00 00 00 0a 00 00 00 |........|........|
|00006260| 00 16 d0 02 00 00 02 00 | 00 00 e8 00 00 00 00 3e |........|.......>|
|00006270| 00 00 00 02 1b 01 00 00 | 04 e5 fe ff ff 07 b4 00 |........|........|
|00006280| 00 00 0a 00 00 00 00 17 | 1b 01 00 00 01 17 d0 02 |........|........|
|00006290| 00 00 01 17 a0 05 00 00 | 01 17 70 08 00 00 01 17 |........|..p.....|
|000062a0| 40 0b 00 00 01 17 10 0e | 00 00 01 17 e0 10 00 00 |@.......|........|
|000062b0| 01 02 00 00 00 56 00 00 | 00 00 3e 00 00 00 02 1b |.....V..|..>.....|
|000062c0| 01 00 00 04 e5 fe ff ff | 07 b4 00 00 00 0a 00 00 |........|........|
|000062d0| 00 00 17 1b 01 00 00 01 | 17 d0 02 00 00 01 17 a0 |........|........|
|000062e0| 05 00 00 01 17 70 08 00 | 00 01 17 40 0b 00 00 01 |.....p..|...@....|
|000062f0| 17 10 0e 00 00 01 17 e0 | 10 00 00 01 02 00 00 00 |........|........|
|00006300| 15 00 00 00 00 3e 00 00 | 00 02 1b 01 00 00 04 e5 |.....>..|........|
|00006310| fe ff ff 07 b4 00 00 00 | 0a 00 00 00 00 17 1b 01 |........|........|
|00006320| 00 00 01 17 d0 02 00 00 | 01 17 a0 05 00 00 01 17 |........|........|
|00006330| 70 08 00 00 01 17 40 0b | 00 00 01 17 10 0e 00 00 |p.....@.|........|
|00006340| 01 17 e0 10 00 00 01 02 | 00 00 00 28 00 00 00 00 |........|...(....|
|00006350| 3e 00 00 00 02 1b 01 00 | 00 04 e5 fe ff ff 07 b4 |>.......|........|
|00006360| 00 00 00 0a 00 00 00 00 | 17 1b 01 00 00 01 17 d0 |........|........|
|00006370| 02 00 00 01 17 a0 05 00 | 00 01 17 70 08 00 00 01 |........|...p....|
|00006380| 17 40 0b 00 00 01 17 10 | 0e 00 00 01 17 e0 10 00 |.@......|........|
|00006390| 00 01 02 00 00 00 19 00 | 00 00 03 1e 00 00 00 00 |........|........|
|000063a0| 3e 00 00 00 02 1b 01 00 | 00 04 e5 fe ff ff 07 b4 |>.......|........|
|000063b0| 00 00 00 0a 00 00 00 00 | 17 1b 01 00 00 01 17 d0 |........|........|
|000063c0| 02 00 00 01 17 a0 05 00 | 00 01 17 70 08 00 00 01 |........|...p....|
|000063d0| 17 40 0b 00 00 01 17 10 | 0e 00 00 01 17 e0 10 00 |.@......|........|
|000063e0| 00 01 02 00 00 00 1b 00 | 00 00 00 3e 00 00 00 02 |........|...>....|
|000063f0| 1b 01 00 00 04 e5 fe ff | ff 07 b4 00 00 00 0a 00 |........|........|
+--------+-------------------------+-------------------------+--------+--------+
Only 25.0 KB of data is shown above.
