Abstract
A 7 years and 10 months old male child, 25 kg, born and raised in Sao Jose do Rio Preto, SP, referred for heart murmur and fatigue investigation. Dyspneic for three months and progressive worsening associated to sporadic dorsal region pain upon moderate exertion. Three days earlier he presented postprandial vomiting, loss of appetite and worsening of general condition. Upon physical examination the patient was in regular state: pale, hydrated, eupneic and afebrile. Regular heart rhythm with systolic murmur 4 + / 6 + and tachycardia. Clear lung sounds. Distended and painful abdomen upon palpation, along with hepatomegaly (liver palpable at 2.36 inches from the right costal margin). Blood pressure and heart rate were normal in all four limbs and without edema.
Highlights
Camila Caetano Cardoso1, MD; Ulisses Alexandre Croti1, MD, PhD; Carlos Henrique De Marchi1, MD; Airton Camacho Moscardini1, MD
Dyspneic for three months and progressive worsening associated to sporadic dorsal region pain upon moderate exertion
Upon physical examination the patient was in regular state: pale, hydrated, eupneic and afebrile
Summary
Camila Caetano Cardoso1, MD; Ulisses Alexandre Croti1, MD, PhD; Carlos Henrique De Marchi1, MD; Airton Camacho Moscardini1, MD. A 7 years and 10 months old male child, 25 kg, born and raised in São José do Rio Preto, SP, referred for heart murmur and fatigue investigation. Regular heart rhythm with systolic murmur 4 + / 6 + and tachycardia.
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