29th July 2020

A 4-year-old boy visits the GP with his mother as he has been persistently short of breath

A 4-year-old boy visits the GP with his mother as he has been persistently short of breath. The boy’s father had congenital heart disease, however his mother doesn’t know the name of the disease, stating it was ‘the common one’. The boy’s medical history includes Down’s Syndrome but nothing else. On examination, the GP hears a pansystolic murmur at the lower left sternal edge.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.