1083H
Fig. 16.1 This shows the hand of a boy
with Down syndrome and Fallot's
tetralogy. The cyanosis and finger-
clubbing associated with his severe
cardiac disease are obvious.1084H
Fig. 16.2 Cyanosis affecting the lips in a
boy with Fallot's tetralogy. The mucous
membranes appear bluish.1085H
Fig. 16.3 Central cyanosis affecting the
tongue of the boy shown in 1086HFig. 16.2.16.2.2 Acquired cardiovascular disease
Rheumatic fever