Dilated cardiomyopathy physical examination: Difference between revisions
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| Line 10: | Line 10: | ||
* High-grade / low-grade fever | * High-grade / low-grade fever | ||
* [[Tachycardia]] with regular pulse | * [[Tachycardia]] with regular or irregular pulse (in case of atrial fibrillation) | ||
* 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 | ||
* High/low blood pressure with normal pulse pressure | * High/low blood pressure with normal pulse pressure | ||
=== Skin === | === Skin === | ||
| Line 23: | Line 23: | ||
=== HEENT === | === HEENT === | ||
* | * HEENT examination of patients with DCM is usually normal | ||
=== Neck === | === Neck === | ||
| Line 35: | Line 32: | ||
* Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally | * Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally | ||
* Vesicular breath sounds OR distant breath sounds | * Vesicular breath sounds OR distant breath sounds | ||
* Normal/reduced [[tactile fremitus]] | * Normal/reduced [[tactile fremitus]] | ||
| Line 41: | Line 37: | ||
=== Heart === | === Heart === | ||
* | * Lateral displacement of the point of maximal impulse (PMI) | ||
* | *Right ventricular heave | ||
* | *S<sub>2</sub> at the base (paradoxical splitting, prominent P<sub>2</sub>) | ||
*S<sub>3</sub> | |||
*S<sub>4</sub> | |||
* [[Heart sounds#Summation%20Gallop|S3 Gallops]] | * [[Heart sounds#Summation%20Gallop|S3 Gallops]] | ||
* | *[[Atrial fibrillation]] may be present | ||
=== Abdomen === | === Abdomen === | ||
Revision as of 17:25, 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 or irregular pulse (in case of atrial fibrillation)
- 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
Skin
HEENT
- HEENT examination of patients with DCM is usually normal
Neck
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- Vesicular breath sounds OR distant breath sounds
- Normal/reduced tactile fremitus
Heart
- Lateral displacement of the point of maximal impulse (PMI)
- Right ventricular heave
- S2 at the base (paradoxical splitting, prominent P2)
- S3
- S4
- S3 Gallops
- Atrial fibrillation may be present
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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Case Studies |
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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 |