A 5-month old girl has fatigue on exertion.She was born at full-term with a birth weight of 9lb had an uncomplicated perinatal period. She has been no feeding problems. She is alert and appears well. Physical examination reveals a loud holosystolic murmur in left parasternal region with am associated systolic thrill. The first and second heart sounds are normal. There is no gallop or diastolic extremities, and she has palpable edema or cyanosis. Which of the following is the most likely diagnosis?

A 5-month old girl has fatigue on exertion.She was born at full-term with a birth weight of 9lb had an uncomplicated perinatal period. She has been no feeding problems. She is alert and appears well. Physical examination reveals a loud holosystolic murmur in left parasternal region with am associated systolic thrill. The first and second heart sounds are normal. There is no gallop or diastolic extremities, and she has palpable edema or cyanosis. Which of the following is the most likely diagnosis?



(A)atrial septal defect
(B)Patent ductus arteriosus
(C)Pulmonic stenosis
(D)Ventricular septal defect
(E)Ventricular septal defect

Answer: E: Ventricular septal defect


Anatomy

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