Snapshot A 3-year-old boy presents to his pediatrician’s office for a well-child visit. He recently moved to the United States from Vietnam. He and his parents report no concerns. On physical exam, he is not in acute distress. His cardiac exam reveals a continuous machine-like murmur. There is no cyanosis or respiratory distress. The physician counsels the parents about this murmur and suggests an echocardiogram. Introduction Clinical definition login to view 1 more bullet Epidemiology login to view 7 more bullets Pathogenesis login to view 5 more bullets Associated conditions login to view 5 more bullets Prognosis login to view 1 more bullet Presentation Symptoms login to view 5 more bullets Physical exam login to view 11 more bullets Imaging Radiography login to view 8 more bullets Echocardiogram login to view 6 more bullets Studies Electrocardiography login to view 4 more bullets Making the diagnosis login to view 1 more bullet Differential Ventricular septal defect login to view 2 more bullets Treatment Management approach login to view 2 more bullets Medical login to view 8 more bullets Operative login to view 4 more bullets Complications Heart failure Eisenmenger syndrome Infective endocarditis