Snapshot A 4-year-old girl presents to her pediatrician’s office for a well-child visit. She and her parents report no concerns except for occasional headaches. During evaluation of her vital signs, her lower extremity systolic blood pressure is found to be more than 20 mmHg less than her upper extremity systolic blood pressure. Introduction Clinical definition login to view 5 more bullets Epidemiology login to view 7 more bullets Pathogenesis login to view 7 more bullets Associated conditions login to view 3 more bullets Prognosis login to view 2 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 13 more bullets Imaging Radiography login to view 9 more bullets Echocardiography login to view 5 more bullets Studies Electrocardiogram login to view 2 more bullets Making the diagnosis login to view 1 more bullet Differential Tetralogy of Fallot login to view 2 more bullets Treatment Medical login to view 8 more bullets Operative login to view 7 more bullets Complications Heart failure Systemic hypertension Berry aneurysms leading to cerebral hemorrhage Aortic rupture Endocarditis