Mr. A. brings in his 3-year-old daughter, a new patient to…
Mr. A. brings in his 3-year-old daughter, a new patient to establish care. He tells you that the daughter has not been seen for more than 2 years and she has not been growing or gaining weight, has frequent respiratory infections and sometimes breaths fast. During auscultation of the heart, the APRN observes a left peristernal lift and auscultates a loud, harsh, and high in pitch systolic ejection murmur that is hear best over the second intercostal space along the left sternal border. What differential diagnosis is the APRN considering?
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