Radiation To Back in Pediatrics — Case | Pediatric Cardiology | SMLE Q#11580
SMLE Question #11580
Pediatrics
Pediatric Cardiology
Objective: OBJ-283
Last updated: February 2026
A 5-year-old overweight girl has persistently elevated blood pressure on several clinic visits. Her father and paternal grandfather developed hypertension in their 30s. Cardiac examination reveals a systolic murmur best heard over the left infraclavicular area with radiation to the back. Upper extremities have strong radial pulses, while lower extremities are cool with weak dorsalis pedis pulses that are delayed compared with the radial pulse. What is the most likely diagnosis?
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