TY  - JOUR
T1  - PIcture of the month
AU  - Narchi H, Santos M, Tunnessen WW, Jr
Y1  - 1999/09/01
N1  - 10.1001/archpedi.153.9.997
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 997
EP  - 997
VL  - 153
IS  - 9
N2  - 
On physical examination, the infant appeared well nourished and had no dysmorphic features. She was irritable and cried constantly. Her respirations were 50/min with intermittent grunting; pulse, 160/min; and temperature, 37°C. Oxygen saturation was 97% by pulse oximetry. Her skin was pale and extremities cool. On chest examination there were mild intercostal retractions, clear lung fields to auscultation, and a grade 3/6 systolic murmur along the left sternal border with a loud second heart sound and a gallop rhythm. The abdomen was soft with the liver edge palpable 4 cm below the right costal margin. Pulse and blood pressure were equal in all 4 extremities. A chest x-ray film (Figure 1) and electrocardiogram (Figure 2) were obtained.

SN  - 1072-4710
M3  - doi: 10.1001/archpedi.153.9.997
UR  - http://dx.doi.org/10.1001/archpedi.153.9.997
ER  -