http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//11-year-old-male-with-abdominal-pain.aspx<p>A previously healthy 11-year-old male presented to our emergency department with abdominal pain, fever, and a rash. Vital signs at admission included a temperature of 39.1 degrees Celsius, a pulse of 94 to 135 and blood pressure range of 134 to 140 systolic over 77 to 103 diastolic.  On physical examination, his lungs were clear, and a soft 2/6 systolic murmur was heard at the lower left sternal border. His extremities were warm, but his pulses were discrepant with 2+ radial and 1+ femoral pulses respectively. Brachiofemoral delay was also noted. A rash was noted on his lower extremities, but not further described. Physical exam was otherwise normal.</p> <p>A chest radiograph was interpreted as normal and an echocardiogram (ECG) showed normal sinus rhythm with left ventricular hypertrophy. Due to clinical suspicion of endocarditis, a transthoracic ECG was performed, and the findings prompted further evaluation with computed tomography (CT) angiography of the thorax.</p>Friday, 20 May 2011 10:19:52 GMT