Pacemaker syndrome physical examination: Difference between revisions
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====Vitals==== | ====Vitals==== | ||
=====Pulse===== | =====Pulse===== | ||
* [[Tachycardia]] | * Tachycardia (1) | ||
*Irreregular peripheral pulse (1) | |||
*[[Tachycardia]] | |||
=====Blood Pressure===== | =====Blood Pressure===== | ||
* [[Orthostatic hypotension]] | * Fluctuating blood pressure and pulse pressure (1) | ||
*[[Orthostatic hypotension]] | |||
* [[Hypovolemic shock]] | * [[Hypovolemic shock]] | ||
=====Respiratory Rate===== | =====Respiratory Rate===== | ||
* [[Tachypnea]] | * Tachypnea (1) | ||
*[[Tachypnea]] | |||
====Neck==== | ====Neck==== | ||
* Neck [[vein]] [[distension]] (elevated [[JVP]]) | * Neck vein distention (1) | ||
*Cannon waves in the neck veins (1) | |||
*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 (1) | ||
*[[Crackles]] may be heard at the bases of the lungs | |||
* Heart | |||
* 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 | * Pulsatile liver (1) | ||
*[[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 (1) | ||
*[[Edema]] may be present | |||
====Neurologic==== | ====Neurologic==== |
Revision as of 14:52, 4 April 2020
Pacemaker syndrome Microchapters |
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Case Studies |
Pacemaker syndrome physical examination On the Web |
American Roentgen Ray Society Images of Pacemaker syndrome physical examination |
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
Vitals
Pulse
- Tachycardia (1)
- Irreregular peripheral pulse (1)
- Tachycardia
Blood Pressure
- Fluctuating blood pressure and pulse pressure (1)
- Orthostatic hypotension
- Hypovolemic shock
Respiratory Rate
- Tachypnea (1)
- Tachypnea
Neck
- Neck vein distention (1)
- Cannon waves in the neck veins (1)
- Neck vein distension (elevated JVP)
- Cannon waves in the neck veins
Lungs
- Pulmonary rales (1)
- Crackles may be heard at the bases of the lungs
- Heart
- Regurgitant murmurs and variability of heart sounds may be heard on auscultation.
Abdomen
- Pulsatile liver (1)
- 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 (1)
- Edema may be present
Neurologic
- Confusion and dizziness may be observed
- Mental status may be altered