Dilated cardiomyopathy physical examination: Difference between revisions
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* High-grade / low-grade fever | * High-grade / low-grade fever | ||
* [[Tachycardia]] with regular pulse or (ir)regularly irregular pulse | * [[Tachycardia]] with regular pulse or (ir)regularly irregular pulse | ||
* Tachypnea | * Tachypnea | ||
* Kussmal respirations may be present in _____ (advanced disease state) | * Kussmal respirations may be present in _____ (advanced disease state) | ||
* Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse | * Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse | ||
| Line 49: | Line 49: | ||
=== Abdomen === | === Abdomen === | ||
*[[Hepatomegaly]] in heart failure | |||
*[[Hepatomegaly]] | |||
=== Back === | === Back === | ||
| Line 62: | Line 61: | ||
=== Neuromuscular === | === Neuromuscular === | ||
* Neuromuscular examination of patients with | * Neuromuscular examination of patients with DCM is usually normal | ||
=== Extremities === | === Extremities === | ||
*[[Cyanosis]] | *[[Cyanosis]] | ||
* Pitting | *[[Clubbing]] | ||
* Pitting [[edema]] of the upper/lower extremities in heart fai__NOTOC__lure | |||
{{Dilated cardiomyopathy}} | {{Dilated cardiomyopathy}} | ||
Revision as of 17:18, 9 December 2019
Overview
Patients with dilated cardiomyopathy (DCM) usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
Physical Examination
Appearance of the Patient
- Patients with DCM usually appear [general appearance].
Vital Signs
- High-grade / low-grade fever
- Tachycardia with regular pulse or (ir)regularly irregular pulse
- Tachypnea
- Kussmal respirations may be present in _____ (advanced disease state)
- Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
- High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure
Skin
HEENT
- Nystagmus
- Extra-ocular movements may be abnormal
- Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
- Ophthalmoscopic exam may be abnormal with findings of ___
Neck
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- Rhonchi
- Vesicular breath sounds OR distant breath sounds
- Normal/reduced tactile fremitus
Heart
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S3 Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope
Abdomen
- Hepatomegaly in heart failure
Back
- Back examination of patients with DCM is usually normal
Genitourinary
- Genitourinary examination of patients with DCM is usually normal.
Neuromuscular
- Neuromuscular examination of patients with DCM is usually normal
Extremities
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Dilated cardiomyopathy Microchapters |
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Diagnosis |
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Treatment |
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Dilated cardiomyopathy physical examination On the Web |
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American Roentgen Ray Society Images of Dilated cardiomyopathy physical examination |
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Risk calculators and risk factors for Dilated cardiomyopathy physical examination |