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History: 4-month-old girl. Failure to thrive.

History

4-month-old female infant. Mother concerned about not meeting goals for child's age. History of sudden death in family. Mother wants complete workup.

Exam

Use the 'heart sounds' link above to virtually auscultate this patient.



Auscultation Tips

Significant independent predictors of the presence of a confirmed cardiac lesion:

  • A loud murmur of intensity 3 or greater.
  • Best heard at the pulmonic location (2LICS).
  • Harsh sound.
  • Pansystolic murmur.
  • Systolic click.
  • Abnormal second heart sound - fixed splitting during respiration.

4-month-old girl. Failure to thrive.



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