Long Fingers in Pediatrics — 8yo Child | Pediatric Cardiology | SMLE Q#16537

SMLE Question #16537

Pediatrics Pediatric Cardiology

Objective: OBJ-283

Last updated: February 2026
An 8-year-old boy is evaluated for a tall, thin habitus with long fingers, joint hypermobility, and positive wrist and thumb signs. He has no chest pain, palpitations, syncope, or dyspnea. Vision screening is normal, and there is no known family history of sudden death. The clinician suspects a heritable connective tissue disorder and wants to screen for a potentially life-threatening cardiovascular complication. What is the most appropriate initial investigation?

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