6-month-old with poor appetite
History
6-month-old girl with poor appetite and shortness of breath.
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.
Authored by Dr. Jonathan Keroes, MD, Cardiology
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/18/2020
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/18/2020