4 year old with fainting episode
Refer?

Patient Chart History: 4 year old girl has been having dizzy spells. Most recent was followed by a fainting episode.

Has complained of heart palpitations.



Auscultation Findings
FeatureFindings
locationApex
loudYes
harshYes
pansystolicYes
splitNo
clickNo
murmurYes

Refer? Should you refer the patient?