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Warning-sign checks

Noonan syndrome with multiple lentigines: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for:

    • Fainting, especially during exercise
    • Severe or sudden breathing difficulty
    • Chest pain that is severe, persistent, or occurs with faintness
    • A rapid or irregular heartbeat with collapse or marked weakness
    • Blue or grey lips, severe unresponsiveness, or difficulty waking
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the usual medical team promptly for new palpitations, worsening breathlessness, reduced ability to exercise, swelling of the legs, or repeated dizziness.

    An infant who becomes sweaty, breathless, or unusually tired during feeding also needs prompt assessment.

    These symptoms do not always mean there is a serious heart problem, but they should be assessed without delay.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you notice gradual changes such as reduced hearing, slower growth, feeding problems, school difficulties, delayed puberty, or new concerns about skin spots.

    These issues are not usually emergencies, but they deserve assessment.

Every sign above is quoted from the sofidex article on Noonan syndrome with multiple lentigines. If you are not sure, err upward — it is always reasonable to be checked.