Congenital heart disease presenting in the newborn — structured clinical encounter

Station brief (candidate)

You are the paediatric registrar. A term infant who passed the pulse-oximetry screen and was well at discharge returns on day 3 with poor feeding, mottled cool peripheries, tachypnoea, weak femoral pulses and a capillary gas showing a metabolic acidosis. The team asks you to make the bedside diagnosis, deliver the immediate resuscitation, arrange the investigations, and speak with the parents. You have 12 minutes with the team and 5 minutes for examiner discussion. ^[6]