Pulmonary atresia physical examination: Difference between revisions
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Created page with "__NOTOC__ {{Pulmonary atresia}} {{CMG}} ==Overview== ==Physical Examination== ===Pulmonary Atresia With Intact Ventricular Septum:=== * Central cyanosis is present ==..." |
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====Palpation==== | ====Palpation==== | ||
* Left ventricular impulse is prominent at cardiac apex | * Left ventricular impulse is prominent at cardiac apex | ||
* Thrill may be present in case of severe [[tricuspid | * [[Thrill]] may be present in case of severe [[tricuspid regurgitation]] | ||
====Auscultation==== | ====Auscultation==== | ||
=====Heart Sounds===== | =====Heart Sounds===== | ||
* First and second heart sound ([[S1]],[[S2]]) are single | * First and second heart sound ([[S1]], [[S2]]) are single | ||
=====Murmurs===== | =====Murmurs===== | ||
* A | * 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 | * 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. | * A systolic ejection murmur best heard at the left second or third intercostal space indicating the [[patent ductus arteriosus]] may be present. | ||
===Pulmonary Atresia With Ventricular Septum defect=== | ===Pulmonary Atresia With Ventricular Septum defect=== | ||
| Line 39: | Line 37: | ||
=====Heart Sounds===== | =====Heart Sounds===== | ||
* First heart sound ([[S1]]) is normal | * First heart sound ([[S1]]) is normal | ||
* Second heart sound ([[S2]]) is single | * Second heart sound ([[S2]]) is loud and single | ||
=====Murmurs===== | =====Murmurs===== | ||
Latest revision as of 19:29, 24 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
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
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.
Pulmonary Atresia With Ventricular Septum defect
Heart
Palpation
- PMI is most prominent at the left lower sternal border
Auscultation
Heart Sounds
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