Coarse Breath Sounds Over in Pediatrics — Case | Pediatric Cardiology | SMLE Q#11342
SMLE Question #11342
Pediatrics
Pediatric Cardiology
Objective: OBJ-283
Last updated: February 2026
A previously healthy 6-year-old boy has 2 days of fever, vomiting, and watery diarrhea and is less active but still drinking. Examination shows mildly dry mucous membranes and reduced air entry with coarse breath sounds over the right lower lung field. Cardiac exam reveals a new grade II/VI systolic murmur best heard at the left lower sternal border, with no radiation or thrills; pulses are normal and there are no signs of heart failure or cyanosis. What is the most appropriate management of this newly detected murmur at this visit?
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