Approach to congenital heart diseases (acyanotic) Quiz: Ace Your Exams
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A 14-year-old boy presents with his parent to the cardiologist for exertional chest pain and dyspnea for the past two months. He recently made his school’s track team and has been experiencing chest pain during sprint trials. He has not experienced palpitations. The patient has no significant past medical history. His parent reports that the patient’s biological father is followed by Cardiology for a heart murmur. Temperature is 37°C (98.6°F), pulse is 97/min, blood pressure is 112/63 mmHg, respirations are 16/min, and oxygen saturation is 99%. On physical examination, there is a 2/6 systolic murmur heard best at the right upper sternal border. The murmur sounds softer with Valsalva. Pulses are 2+ and capillary refill is <2 seconds. Pulmonary examination is normal. Given the likely diagnosis, which of the following additional findings is most likely to be present?
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