She is bottle fed with a cow's milk formula, feeding 3 to 5 oz. 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.