Cardiomyopathy physical examination: Difference between revisions
Lina Yaqoub (talk | contribs) |
Lina Yaqoub (talk | contribs) |
||
| Line 9: | Line 9: | ||
==Physical Examination== | ==Physical Examination== | ||
Vital signs | '''Vital signs''' | ||
It is always very important to measure vital signs in all patients with any cause of cardiomyopathy. | It is always very important to measure vital signs in all patients with any cause of cardiomyopathy. | ||
Neck | '''Neck''' | ||
[[jugular venous distension]] might be noted when the right atrial pressures are elevated. A bifid carotid upstroke might be noted in HCM. | [[jugular venous distension]] might be noted when the right atrial pressures are elevated. A bifid carotid upstroke might be noted in HCM. | ||
Revision as of 23:53, 27 November 2018
|
Cardiomyopathy Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Guidelines |
|
2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy |
|
Case Studies |
|
Cardiomyopathy physical examination On the Web |
|
American Roentgen Ray Society Images of Cardiomyopathy physical examination |
|
Risk calculators and risk factors for Cardiomyopathy physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Overview
A thorough physical examination can help in diagnosing cardiomyopathy. Particular attention should be given to the cardiac exam, the lung exam, the extremities for edema, and in assessing for other signs of heart failure such as jugular venous distension.
Physical Examination
Vital signs
It is always very important to measure vital signs in all patients with any cause of cardiomyopathy.
Neck
jugular venous distension might be noted when the right atrial pressures are elevated. A bifid carotid upstroke might be noted in HCM.
Heart
Apical impulse might be displaced in dilated cardiomyopathy or forceful in HCM. A systolic murmur might be heard at the apex, radiating to the axilla, which might indicate LV outflow obstruction in HCM or the presence of mitral regurgitation. The systolic murmur of HCM is increased by valsalva maneuver or standing.
Lungs
Crackles in the lungs may be a sign of heart failure, which often develops in the later stages of cardiomyopathy.
Extremities
Edema of the ankles, feet, legs and abdomen.