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Picture of the Month
Hassib Narchi, MD;
Marissa Santos, MD;
Walter W. Tunnessen, Jr, MD
From the Pediatric Unit, Saudi Aramco–Al Hasa Health Center, Mubarraz, Kingdom of Saudi Arabia.
Arch Pediatr Adolesc Med. 1999;153:997-998.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 6-WEEK-OLD INFANT, the product of a full-term, uncomplicated pregnancy and the first child of unrelated parents, had a history of irritability and poor feeding. The mother reported that the infant had been irritable and crying for a few days, especially during feeding, with episodes of pallor and breathlessness.
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 . . . [Full Text of this Article]
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