MEDICINE
CARDIOLOGY
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Question
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week-old FT newborn. SOB with feeds. Mom had no prenatal care. Physical examination is remarkable for a blood pressure of 100/60 mmHg in the right arm, redundant skin overlying the posterior neck, and edema of the lower extremities. MURMUR:Gallop rhythm and a regurgitant murmur at the mid-precordium. Femoral pulses are diminished. Subcostal retractions. Rales on auscultation of the lungs. MOST appropriate next step in the evaluation of this infant is:
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Blood Chromosomal analysis
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Chest Radiograph
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Complete metabolic profile
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12 lead EKG
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Explanation:
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