A 14-year-old girl arrives at the clinic for a normal health assessment. The patient will shortly begin her freshman year of high school. She is a clarinetist in the school band but does not participate in any sports. The patient claims to be sexually inactive and to not use cigarettes, alcohol, or illegal substances. Height is in the fifth percentile, while weight is in the twenty-fifth percentile. Her temperature is 36.7 degrees Celsius (98 degrees Fahrenheit), her blood pressure is 120/80 mm Hg, her pulse is 88 beats per minute, and her respirations are 16 beats per minute. Physical examination reveals a short and robust neck, a large chest, and bilaterally shortened fourth metacarpals. During cardiac auscultation, a murmur is heard. Which of the following is most likely to be found on an echocardiogram?

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Eductional Objective: Turner syndrome is linked with aortic abnormalities, the most frequent of which is a bicuspid aortic valve. An early systolic, high-frequency click across the right second interspace can indicate a nonstenotic bicuspid aortic valve. Stenosis, insufficiency, and infection are all possibilities with bicuspid aortic valves.

A 14-Year-Old Girl Arrives at the Clinic for a Normal