Widely Spaced Nipples in Pediatrics — 4yo Child | General Pediatrics | SMLE Q#16970
SMLE Question #16970
Pediatrics
General Pediatrics
Objective: OBJ-377
Last updated: February 2026
A 4-year-old boy has poor weight gain and short stature since infancy and tires easily during play. Examination shows low-set ears, hypertelorism, a webbed neck, and a broad chest with widely spaced nipples. He has a systolic ejection murmur at the left upper sternal border. Echocardiography shows valvular pulmonary stenosis. His height and weight are below the 3rd percentile. What is the most appropriate next step in management?
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