Pacemaker syndrome physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
====Appearance of the Patient==== | ====Appearance of the Patient==== | ||
* [[ | * [[Diaphoresis]] | ||
*Apprehension | |||
====Vitals==== | ====Vitals==== | ||
=====Pulse===== | =====Pulse===== | ||
* [[Tachycardia]] | |||
*[[Tachycardia]] | |||
*Irreregular peripheral pulse | |||
=====Blood Pressure===== | =====Blood Pressure===== | ||
* [[Orthostatic hypotension]] | |||
*[[Orthostatic hypotension]] | |||
* [[Hypovolemic shock]] | * [[Hypovolemic shock]] | ||
*Fluctuating blood pressure and pulse pressure | |||
=====Respiratory Rate===== | =====Respiratory Rate===== | ||
* [[Tachypnea]] | |||
*[[Tachypnea]] | |||
====Neck==== | ====Neck==== | ||
* Neck [[vein]] [[distension]] (elevated [[JVP]]) | |||
*Neck [[vein]] [[distension]] (elevated [[JVP]]) | |||
* [[Cannon A waves|Cannon waves]] in the neck veins | * [[Cannon A waves|Cannon waves]] in the neck veins | ||
====Lungs==== | ====Lungs==== | ||
[[Crackles]] may be heard at the bases of the lungs | |||
Pulmonary rales | |||
====Heart==== | ====Heart==== | ||
*S3 gallop | |||
* Regurgitant [[murmurs]] and variability of [[heart sounds]] may be heard on auscultation. | * Regurgitant [[murmurs]] and variability of [[heart sounds]] may be heard on auscultation. | ||
====Abdomen==== | ====Abdomen==== | ||
* [[Abdominal distension]] ([[ascites]]) may be present in severe cases | |||
*[[Abdominal distension]] ([[ascites]]) may be present in severe cases | |||
* [[Tenderness]] may be present at the [[right upper quadrant]] ([[RUQ]]) | * [[Tenderness]] may be present at the [[right upper quadrant]] ([[RUQ]]) | ||
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====Extremities==== | ====Extremities==== | ||
* [[Edema]] may be present | |||
*[[Edema]] may be present | |||
*cool extremities | |||
====Neurologic==== | ====Neurologic==== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
<ref name="pmid11858242">{{cite journal| author=Van Orden Wallace CJ| title=Diagnosing and treating pacemaker syndrome. | journal=Crit Care Nurse | year= 2001 | volume= 21 | issue= 1 | pages= 24-31, 35; quiz 36-7 | pmid=11858242 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11858242 }}</ref> | |||
[[Category:Electrophysiology]] | [[Category:Electrophysiology]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
Latest revision as of 02:51, 27 June 2020
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Pacemaker syndrome Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pacemaker syndrome physical examination On the Web |
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American Roentgen Ray Society Images of Pacemaker syndrome physical examination |
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Risk calculators and risk factors for Pacemaker syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Physical Examination
Appearance of the Patient
- Diaphoresis
- Apprehension
Vitals
Pulse
- Tachycardia
- Irreregular peripheral pulse
Blood Pressure
- Orthostatic hypotension
- Hypovolemic shock
- Fluctuating blood pressure and pulse pressure
Respiratory Rate
Neck
- Neck vein distension (elevated JVP)
- Cannon waves in the neck veins
Lungs
Crackles may be heard at the bases of the lungs
Pulmonary rales
Heart
- S3 gallop
- Regurgitant murmurs and variability of heart sounds may be heard on auscultation.
Abdomen
- Abdominal distension (ascites) may be present in severe cases
- Tenderness may be present at the right upper quadrant (RUQ)
- Pulsatile liver may be palpated
Extremities
- Edema may be present
- cool extremities
Neurologic
- Confusion and dizziness may be observed
- Mental status may be altered
References
- ↑ Van Orden Wallace CJ (2001). "Diagnosing and treating pacemaker syndrome". Crit Care Nurse. 21 (1): 24–31, 35, quiz 36-7. PMID 11858242.