RT Journal
A1 Pitone M, Alouf B
T1 PIcture of the month—quiz case
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2006
FD March 1
VO 160
IS 3
SP 300
OP 300
DO 10.1001/archpedi.160.3.300
UL http://dx.doi.org/10.1001/archpedi.160.3.300
AB 
On examination, his weight was 7.1 kg (75th percentile); temperature, 38.1°C; heart rate, 153/min; respiratory rate, 40/min; blood pressure, 62/47 mm Hg; and oxygen saturation, 98% on room air. He appeared mildly ill, pale, and quiet. His lips were dry, he had a 2/6 flow murmur heard best at the left sternal border, his skin was mottled, and his feet were cool. The abdomen was soft without apparent tenderness. Periumbilical erythema and induration extended a distance of 0.5 cm around the umbilicus.