Ten-year-old girl brought to office by mother.

History

Ten-year-old girl brought to office by mother. Mother states patient has had nosebleeds over the past three months. Also complains of pounding headaches, dizziness and exercise induced leg cramps.

Blood pressure in legs is significantly less than in the arms. Other lab results are normal.

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Authors and Reviewers

Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 11/9/2021

Sources

Heart Sounds and Murmurs Across the Lifespan (with CD) Dr Barbara Ann Erickson
Publisher: Mosby
ISBN-10: 0323020453; ISBN-13: 978-0323020459
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
How to measure blood pressure using a manual monitor
Mayo Foundation for Medical Education and Research (MFMER)
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
Manual Blood Pressure Measurement
Vital Sign Measurement Across the Lifespan