Classic manifestations of a systolic ejection murmur heard at the left interscapular area,cool mottled skin on the lower extremities but hypertension noted in the upper extremities,and decreased or absent femoral pulse are indicative of an older child with which congenital defect?
A) Tetralogy of Fallot
B) Aortic stenosis
C) Ventricular septum defect (SD)
D) Coarctation of the aorta (OA)

Question

Quizplus · Accepted Answer

Clinical manifestations of coarctation of the aorta include hypertension noted in the upper extremities with decreased or absent pulses in the lower extremities.Children may also have cool mottled skin and occasionally experience leg cramps during exercise.A systolic ejection murmur,heard best at the left interscapular area,is also considered a classic clinical manifestation of this disorder.The other options are not initially associated with these symptoms.

Classic Manifestations of a Systolic Ejection Murmur Heard at the Left