This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
Congestive cardiac failure is diagnosed in an infant by- 
Select and explain. 
A. Basal crepts, B. Elevated JVP, C. Pedal edema, D. Liver enlargement
D: Liver enlargement
Answer: D: Liver enlargement 
Explanation: Ans. is 'd' i.e., Hepatomegaly o In infants, hea failure may be difficult to identify. o Prominent menifestations include. i) Symptoms Tachypnea, tachycardia Feeding difficulties Poor weight gain Excessive perspiration Irritability Weak, Cry often hoarse Noisy, labored respiration Flaring of alae nasi Intercostal and subcostal retractions ii) Signs Wheezing Hepatomegaly Cardiomegaly Gallop rhythm (S3) Clinical assessment of juglar venous pressure in infants may be difficult because of the shoness of the neck and the difficulty of observing a relaxed state. Edema of face occurs early. Edema on the feet occurs late.