Flushed skin

Rheumatic heart disease or fever

Periorbital puffiness

fluid retention (edema)

Conjunctiva should be

Clear

Inspect lip for

Cyanosis

Ruddy color

Polycythemia or cushings

Grayish tone

CAD or shock

Protruding eyes

Hyperthyroidism or increase CO

Blue color

Mar fans syndrome or aortic dissection

Head bobbing

Aortic regurgitation

Down syndrome

Congenital heart disease

Wide set eyes

Seen in a child with noonas syndrome accompanied with pulmonic stenosis

red scaly eczema like area over the nipple

Paget's disease