She initially did well. At about two months of age her mother noticed that the infant appeared to have a slight blue-purple color during some feedings. The baby did have a 2 week check-up and was thought to be well although a soft murmur was heard. She has not been back to the doctors office until today. Pulses are equal in all extremities.
Lungs are clear to auscultation.
The precordium is active. A heave is felt below the xyphoid process. Diastole is quiet. The abdomen is soft. There is no organomegaly.