Group Teaching Heart Auscultation Quiz (Pediatric)
4 year old boy, completely healthy to past history and very active with no lack of energy, no breathlessness with exercise or other cardiac symptoms. On examination he looks normal but is slightly small for his age (35%ile for weight and height) and you find his heart action a bit increased particularly along the left sternal edge. Pulses are normal. You listen to his heart at the left upper sternal edge.