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When the child squats, the murmur is intensified and the cyanosis improves. A grade 2/6 systolic ejection murmur is appreciated at the left upper sternal border. On examination, the boy is crying with perioral cyanosis. The height is in the 40th percentile and the weight is in the 50th percentile. The heart rate was 120/min and the oxygen saturation was 91%. Here’s the complete overview of First Aid for the USMLE Step 2 CS 6th Edition PDF: The 1 review for the USMLE Step 2 CS is now even better The Sixth Edition of First Aid for the USMLE Step 2 CS has been updated to reflect the latest NBME exam format and worksheet items and incorporates feedback from the recent US and international test-takers. He has had difficulty feeding, but there was no follow-up with a pediatrician. The parents report that he plays with other children, but tires easily. He has not had any immunizations due to their religious beliefs.
His mother states that he was running with other kids in the park when he suddenly fell down and became unresponsive for less than 1 minute.