Aortic sclerosis physical examination: Difference between revisions
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While a short mid-systolic murmur may be heard in aortic sclerosis, there is no fusion of the commisures and no significant obstruction to forward flow across the aortic valve. As a result, the [[S2]] is normal in aortic sclerosis and the carotid upstroke is normal (i.e. [[pulsus parvus et tardus]]) is absent. | While a short mid-systolic murmur may be heard in aortic sclerosis, there is no fusion of the commisures and no significant obstruction to forward flow across the aortic valve. As a result, the [[S2]] is normal in aortic sclerosis and the carotid upstroke is normal (i.e. [[pulsus parvus et tardus]]) is absent. | ||
==Physical Examination== | ==Physical Examination== | ||
* Normal S2 | * Normal [[S2]] | ||
* [[Heart murmur#Systolic Heart Murmurs|Systolic murmur]] | * [[Heart murmur#Systolic Heart Murmurs|Systolic murmur]] | ||
:*Short mid-systolic murmur | :*Short mid-systolic murmur | ||
:*Best heard at right second intercostal space | :*Best heard at right second intercostal space | ||
*Absence of bilateral radiation to the carotid arteries and normal S2 helps to differentiate aortic sclerosis murmur from [[Aortic stenosis physical examination#Heart|aortic stenosis murmur]] | *Absence of bilateral radiation to the [[carotid arteries]] and normal [[S2]] helps to differentiate aortic sclerosis murmur from [[Aortic stenosis physical examination#Heart|aortic stenosis murmur]] | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[CME Category::Cardiology]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
Latest revision as of 23:04, 14 March 2016
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Aortic sclerosisMicrochapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Aortic sclerosis physical examination On the Web |
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American Roentgen Ray Society Images of Aortic sclerosis physical examination |
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Risk calculators and risk factors for Aortic sclerosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Lakshmi Gopalakrishnan, M.B.B.S. [2]
Overview
While a short mid-systolic murmur may be heard in aortic sclerosis, there is no fusion of the commisures and no significant obstruction to forward flow across the aortic valve. As a result, the S2 is normal in aortic sclerosis and the carotid upstroke is normal (i.e. pulsus parvus et tardus) is absent.
Physical Examination
- Normal S2
- Systolic murmur
- Short mid-systolic murmur
- Best heard at right second intercostal space
- Absence of bilateral radiation to the carotid arteries and normal S2 helps to differentiate aortic sclerosis murmur from aortic stenosis murmur