Widely Spaced Nipples in Pediatrics — 12yo Child | General Pediatrics | SMLE Q#12241
SMLE Question #12241
Pediatrics
General Pediatrics
Objective: OBJ-377
Last updated: February 2026
A 12-year-old girl is evaluated for short stature. Since infancy, she has had a webbed neck and a low posterior hairline. She has not started breast development. Examination shows a broad chest with widely spaced nipples and a systolic murmur at the left upper sternal border. Height is below the 3rd percentile. What is the most appropriate next step in management?
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