Pulmonary atresia physical examination

Pulmonary atresia Microchapters
Home
Patient Info
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Pulmonary atresia from other Diseases
Epidemiology & Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History & Symptoms
Physical Examination
Labratory findings
Electrocardiogram
Chest X Ray
MRI
Echocardiography or Ultrasound
CT Scan
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Pulmonary atresia physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Pulmonary atresia physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pulmonary atresia physical examination
CDC on Pulmonary atresia physical examination
Pulmonary atresia physical examination in the news
Blogs on Pulmonary atresia physical examination
Directions to Hospitals Treating Type page name here
Risk calculators and risk factors for Pulmonary atresia physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Pulmonary Atresia With Intact Ventricular Septum:

• Central cyanosis is present

Heart

Palpation

• Left ventricular impulse is prominent at cardiac apex
• Thrill may be present in case of severe tricuspid regurgitation

Auscultation

Heart Sounds

• First and second heart sound (S1, S2) are single

Murmurs

• A holosystolic murmur indicating tricuspid regurgitation best heard at the left lower sternal border may be present
• In severe tricuspid regurgitation, a diastolic rumble may be present
• A systolic ejection murmur best heard at the left second or third intercostal space indicating the patent ductus arteriosus may be present.

Heart

• Central cyanosis is present
• "A wave" is prominent in a JVP

Palpation

• PMI is most prominent at the left lower sternal border

Auscultation

Heart Sounds

• First heart sound (S1) is normal
• Second heart sound (S2) is loud and single

Murmurs

• Systolic murmur best heard at the lower left sternal border is present
• In presence of patent ductus arteriosus a continuous murmur may be present
• In presence of aortic regurgitation, an early diastolic murmur is present