4 year old with fainting episode Refer? Chart Auscultation Diagnosis 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 murmurYes locationApex pansystolicYes harshYes loudYes clickNo splitNo Refer? Should you refer the patient? YesNo Table of Contents Introduction 14 month old girl. Failure to thrive. 26 month old boy 34 year old with fainting episode 410 year old with chest pain. 56 month old with poor appetite 612 year old with respiratory infections 7Twelve year old girl with periodic dizziness 8Eleven year old girl seen after bicycle accident 9Eight year old girl with elevated temperature 10Eight year old boy with generalized malaise 11Fifteen year old boy complains of dizziness