15th September 2020

A 1.5-month-old boy presents with his mother to his GP for his 6-week check

A 1.5-month-old boy presents with his mother to his GP for his 6-week check. He has not been feeding well and has lost weight since he was last seen one month ago. His mother has noticed that he gets breathless and sweaty during feeding. On examination, you notice that he is tachypnoeic and tachycardic. On auscultation of the heart, you hear a continuous “machine-like” murmur in the left infraclavicular region and in the back. What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.