Atrial flutter physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with atrial flutter may reveal tachycardia, hypotension, diaphoresis, and evidence of congestive heart failure. Occasionally, cardiac auscultation may reveal an irregular rhythm, abnormal valve sounds, or a gallop.<ref name="pmid4698205">{{cite journal |vauthors=Wills RA |title=As a factor influencing patron retention |journal=J Am Pharm Assoc |volume=13 |issue=5 |pages=262–3 |date=May 1973 |pmid=4698205 |doi=10.1016/s0003-0465(16)32574-5 |url=}}</ref><ref name="pmid5522718">{{cite journal |vauthors=Apgar V |title=Genetic counseling. Remarks of moderator. Afternoon session |journal=Birth Defects Orig. Artic. Ser. |volume=6 |issue=1 |pages=41 |date=May 1970 |pmid=5522718 |doi= |url=}}</ref> | [[Physical examination]] of patients with atrial flutter may reveal tachycardia, [[hypotension]], [[diaphoresis]], and evidence of [[congestive heart failure]]. Occasionally, [[cardiac auscultation]] may reveal an irregular rhythm, abnormal valve sounds, or a [[Gallop rhythm|gallop]].<ref name="pmid4698205">{{cite journal |vauthors=Wills RA |title=As a factor influencing patron retention |journal=J Am Pharm Assoc |volume=13 |issue=5 |pages=262–3 |date=May 1973 |pmid=4698205 |doi=10.1016/s0003-0465(16)32574-5 |url=}}</ref><ref name="pmid5522718">{{cite journal |vauthors=Apgar V |title=Genetic counseling. Remarks of moderator. Afternoon session |journal=Birth Defects Orig. Artic. Ser. |volume=6 |issue=1 |pages=41 |date=May 1970 |pmid=5522718 |doi= |url=}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
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===Vital Signs=== | ===Vital Signs=== | ||
*[[Tachycardia]] with regular pulse or irregular pulse | *[[Tachycardia]] with regular pulse or irregular pulse | ||
*Low blood pressure with normal pulse pressure | *Low [[blood pressure]] with normal pulse pressure | ||
===Skin=== | ===Skin=== | ||
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===HEENT=== | ===HEENT=== | ||
*Exophthalmos and neck swelling can be seen in hyperthyroidism. | *[[Exophthalmos]] and neck swelling can be seen in [[hyperthyroidism]]. | ||
===Neck=== | ===Neck=== | ||
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===Lungs=== | ===Lungs=== | ||
* | *[[Rales]] or [[crackles]] may be present. | ||
===Heart=== | ===Heart=== | ||
*S3 may be heard in congestive heart failure. | *S3 may be heard in [[congestive heart failure]]. | ||
*A mid-to-late systolic click is present, followed by a late systolic murmur which is best heard at the cardiac apex is observed in mitral valve prolapse. | *A mid-to-late [[Systolic click—murmur syndrome|systolic click]] is present, followed by a late [[Systolic murmurs|systolic murmur]] which is best heard at the [[cardiac apex]] is observed in mitral valve prolapse. | ||
*Holosystolic murmur is heard in mitral regurgitation due to rheumatic heart disease. | *[[Holosystolic murmur]] is heard in [[mitral regurgitation]] due to [[rheumatic heart disease]]. | ||
===Abdomen=== | ===Abdomen=== | ||
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===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with atrial flutter is usually normal. | *[[Genitourinary]] examination of patients with atrial flutter is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with atrial flutter is usually normal. | *[[Neuromuscular]] examination of patients with atrial flutter is usually normal. | ||
===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with atrial flutter is usually normal. | *[[Extremities]] examination of patients with atrial flutter is usually normal. | ||
==References== | ==References== |
Revision as of 16:33, 10 January 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Physical examination of patients with atrial flutter may reveal tachycardia, hypotension, diaphoresis, and evidence of congestive heart failure. Occasionally, cardiac auscultation may reveal an irregular rhythm, abnormal valve sounds, or a gallop.[1][2]
Physical Examination
Appearance of the Patient
- Patients with atrial flutter usually appear normal.
Vital Signs
- Tachycardia with regular pulse or irregular pulse
- Low blood pressure with normal pulse pressure
Skin
- Skin examination of patients with atrial flutter is usually normal.
HEENT
- Exophthalmos and neck swelling can be seen in hyperthyroidism.
Neck
- Neck examination of patients with atrial flutter is usually normal.
Lungs
Heart
- S3 may be heard in congestive heart failure.
- A mid-to-late systolic click is present, followed by a late systolic murmur which is best heard at the cardiac apex is observed in mitral valve prolapse.
- Holosystolic murmur is heard in mitral regurgitation due to rheumatic heart disease.
Abdomen
- Abdominal examination of patients with atrial flutter is usually normal.
Back
- Back examination of patients with atrial flutter is usually normal.
Genitourinary
- Genitourinary examination of patients with atrial flutter is usually normal.
Neuromuscular
- Neuromuscular examination of patients with atrial flutter is usually normal.
Extremities
- Extremities examination of patients with atrial flutter is usually normal.