Which condition is characterized with the following common f…

Which condition is characterized with the following common findings on examination:  inspection of the patient reveals tachypnea, deep breathing, pursed lips, and barrel chest. Hyperresonance is noted with percussion. Upon auscultation, there are diminished breath and voice sounds as well as diminished audibility of the heart sounds. 

Mr. A.  brings in his 3-year-old daughter, a new patient to…

Mr. A.  brings in his 3-year-old daughter, a new patient to establish care. He tells you that the daughter has not been seen for more than 2 years and she has not been growing or gaining weight, has frequent respiratory infections and  sometimes breaths fast. During auscultation of the heart, the APRN observes a left peristernal lift and auscultates a loud, harsh, and high in pitch systolic ejection murmur that is hear best over the second intercostal space along the left sternal border. What differential diagnosis is the APRN considering?