Congenital Disorders II

Cardiovascular System


{"ops":[{"insert":"A previously healthy 16-year-old boy is brought to the physician for a pre-participation sports physical. He reports frequent headaches. Physical examination shows a blood pressure is 180\/120 mm Hg in the right arm and 130\/80 mm Hg in the right leg. Cardiac examination shows a systolic murmur in the left infraclavicular area. Femoral pulses are difficult to palpate and are delayed in comparison to the radial pulses. X-ray of the chest shows cardiomegaly. Which of the following is the most likely diagnosis?\n"}]}

Background

{"ops":[{"insert":"\n"}]}

(A)

Essential hypertension
{"ops":[{"insert":"\n"}]}

(B)

Aortic stenosis
{"ops":[{"insert":"\n"}]}

(C)

Atrial septal defect
{"ops":[{"insert":"\n"}]}

(D)

Coarctation of the aorta
{"ops":[{"insert":"\n"}]}

(E)

Renal artery stenosis
{"ops":[{"insert":"\n"}]}

References

{"ops":[{"insert":"Bernstein, Daniel. Coarctation of the Aorta [online]. Nelson Textbook of Pediatrics, 2020 , 2020 [viewed 20 August 2019]. Available from: https:\/\/www.us.elsevierhealth.com\/nelson-textbook-of-pediatrics-2-volume-set-9781455775668.html"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"DOSHI AR, CHIKKABYRAPPA S. Coarctation of Aorta in Children Cureus [online] 2018 Dec 5, 10(12):e3690 [viewed 20 August 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6368362"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"ALKASHKARI W, ALBUGAMI S, HIJAZI ZM. Management of Coarctation of The Aorta in Adult Patients: State of The Art Korean Circ J [online] 2019 Feb 18, 49(4):298-313 [viewed 20 August 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6428953"},{"insert":"\n","attributes":{"list":"ordered"}}]}

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