Need treatment for hip pain and blue skin with heart murmur
Patient: I have a 4 yr old grandaughter - she has a heart murmur but , with regular checkups, has no problems with this other than tiredness. She has started to develop pain above the waist and blue mottly skin while having a shower - this is not a hot shower, just luke warm and takes a while to disappear after. We have changed products with no avail. She does get quite mottled skin at other times, but not necessarily associated with hot or cold temperatures. Any ideas? Doctor: Hi, Since your grand daughter has heart murmer and an episode of bluishness of skin, there is a possibility of congenital heart disease. In my opinion, an urgent ECG, with echocardiography should be done with x ray chest to rule out heart disease. I  advice you to do the above investigations and report back. I hope this has helped you. Take care. Regards Dr Deepak Patel, MD Pediatrics