A 6 year old neonate with sudden onset of irritability, excessive sweat, severe dyspnea.no fever.the baby was delivered at term by SVD,temp is 37.2°c,p/R is 184bpm,RR,is 58BPM.murmur heard.liet dx?

The likely diagnosis for this neonate is congenital heart disease, specifically a congenital heart defect such as Tetralogy of Fallot. The symptoms of irritability, excessive sweating, severe dyspnea, and a heart murmur are consistent with this condition. The high heart rate (184bpm) and respiratory rate (58bpm) are also indicative of cardiac distress. Further evaluation and testing, such as an echocardiogram, would be needed to confirm the diagnosis and determine the appropriate treatment.

Congenital heart disease (CHD)