Eisenmenger’s syndrome physical examination: Difference between revisions

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=== Appearance of the Patient ===
=== Appearance of the Patient ===


* Patients with [disease name] usually appear [general appearance].
* Patients with Eisenmenger's syndrome usually appear [general appearance].


=== Vital Signs ===
=== Vital Signs ===


* [[Hypothermia]] / hyperthermia may be present
* [[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
* [[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
* [[Bradycardia]] with regular pulse or (ir)regularly irregular pulse
* Tachypnea / bradypnea
* Tachypnea / bradypnea
* Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
* Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
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=== Skin ===
=== Skin ===
Skin examination of patients with Eisenmenger's syndrome usually shows


* Skin examination of patients with [disease name] is usually normal.
*[[Plethora]]
*[[Livedo reticularis]]
*Profound [[acrocyanosis]]
*[[Urate]] depositions
*[[Ecchymosis]]
*Ischemic skin [[ulcerations]]


=== HEENT ===
=== HEENT ===


* HEENT examination of patients with [disease name] is usually normal.
* HEENT examination of patients with Eisenmenger's syndrome is usually normal.


=== Neck ===
=== Neck ===
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* [[Jugular venous distension]]
* [[Jugular venous distension]]
* [[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
* [[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
* [[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
* [[Thyromegaly]] / thyroid nodules
* [[Hepatojugular reflux]]
* [[Hepatojugular reflux]]


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=== Back ===
=== Back ===


* Back examination of patients with [disease name] is usually normal.
* Back examination of patients with Eisenmenger's syndrome is usually normal.


=== Genitourinary ===
=== Genitourinary ===


* Genitourinary examination of patients with [disease name] is usually normal.
* Genitourinary examination of patients with Eisenmenger's syndrome is usually normal.


=== Neuromuscular ===
=== Neuromuscular ===


* Neuromuscular examination of patients with [disease name] is usually normal.
* Neuromuscular examination of patients with Eisenmenger's syndrome is usually normal.


===Extremities===
===Extremities===
* Central [[cyanosis]]
* C[[cyanosis|yanosis]]
* [[Clubbing]]  
* [[Clubbing]]  
* Peripheral [[edema]]
* Peripheral [[edema]]

Revision as of 14:10, 20 January 2020

Eisenmenger’s syndrome Microchapters

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Physical Examination

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Eisenmenger’s syndrome ACC/AHA Guidelines for Evaluation of Patients

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]

Overview

Physical Examination

Appearance of the Patient

  • Patients with Eisenmenger's syndrome usually appear [general appearance].

Vital Signs

  • Tachycardia with regular pulse or (ir)regularly irregular pulse
  • Tachypnea / bradypnea
  • Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
  • High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure

Skin

Skin examination of patients with Eisenmenger's syndrome usually shows

HEENT

  • HEENT examination of patients with Eisenmenger's syndrome is usually normal.

Neck

Lungs

  • Pulmonary examination of patients with [disease name] is usually normal.

Heart

  • Jugular venous pressure may be raised with 'a' wave indicating increased right atrial pressure. A 'v' wave indicating development of tricuspid regurgitation may also be seen
  • Right ventricular heave and thrill
  • Murmurs of tricuspid and pulmonic regurgitation maybe audible.
  • Loud P2
  • Ejection click

Abdomen

Back

  • Back examination of patients with Eisenmenger's syndrome is usually normal.

Genitourinary

  • Genitourinary examination of patients with Eisenmenger's syndrome is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with Eisenmenger's syndrome is usually normal.

Extremities

References

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