A 12-year-old girl is brought to the doctor by her parents, who are concerned about her lack of interest in school sports. She stepped off the field in the middle of a recent tournament, complaining about discomfort in her legs. There are no additional medical issues or drugs that the patient is taking. Her vaccinations are up to date. Physical examination reveals pulsatile vessels inside the intercostal gaps as well as decreased femoral pulses in comparison to brachial pulses. Which of the following disorders is most likely related with this patient's symptoms?

Question

Quizplus · Accepted Answer

Eductional Objective: Aortic coarctation in a child/young adult presents with lower-extremity claudication (eg, pain and cramping with exercise), blood pressure discrepancy between the upper and lower extremities, and delayed or diminished femoral pulses.  Turner syndrome (45,XO) is associated with coarctation of the aorta in up to 10% of cases.

A 12-Year-Old Girl Is Brought to the Doctor by Her