Routine Well-baby Visit in Pediatrics — Case | Pediatric Cardiology | SMLE Q#11534

SMLE Question #11534

Pediatrics Pediatric Cardiology

Objective: OBJ-283

Last updated: February 2026
A 2-week-old term boy presents for a routine well-baby visit. He feeds well and has no cyanosis or respiratory distress. Examination shows a small midline sacral dimple within the gluteal cleft without a hair tuft, a grade 2/6 systolic murmur at the left upper sternal border, easily palpable brachial pulses, and nonpalpable femoral pulses bilaterally. Which finding requires the most urgent evaluation and management?

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