Pacemaker syndrome physical examination: Difference between revisions
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Sara Usman (talk | contribs) →Appearance of the Patient: <ref name="pmid3910239">{{cite journal| author=Ausubel K, Boal BH, Furman S| title=Pacemaker syndrome: definition and evaluation. | journal=Cardiol Clin | year= 1985 | volume= 3 | issue= 4 | pages= 587-94 | pmid=3910239 | do |
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====Appearance of the Patient==== | ====Appearance of the Patient==== | ||
* [[Diaphoretic]] | * [[Diaphoretic]] | ||
*Apprehension | |||
====Vitals==== | ====Vitals==== | ||
| Line 11: | Line 12: | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*Irreregular peripheral pulse | |||
=====Blood Pressure===== | =====Blood Pressure===== | ||
*[[Orthostatic hypotension]] | *[[Orthostatic hypotension]] | ||
* [[Hypovolemic shock]] | * [[Hypovolemic shock]] | ||
*Fluctuating blood pressure and pulse pressure | |||
=====Respiratory Rate===== | =====Respiratory Rate===== | ||
| Line 32: | Line 36: | ||
* Regurgitant [[murmurs]] and variability of [[heart sounds]] may be heard on auscultation. | * Regurgitant [[murmurs]] and variability of [[heart sounds]] may be heard on auscultation. | ||
*Pulmonary rales | |||
====Abdomen==== | ====Abdomen==== | ||
Revision as of 04:02, 7 April 2020
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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
- Diaphoretic
- Apprehension
Vitals
Pulse
- Tachycardia
- Irreregular peripheral pulse
Blood Pressure
- Orthostatic hypotension
- Hypovolemic shock
- Fluctuating blood pressure and pulse pressure
Respiratory Rate
Neck
- Neck vein distension (elevated JVP)
- Cannon waves in the neck veins
Lungs
- Crackles may be heard at the bases of the lungs
- Heart
- Regurgitant murmurs and variability of heart sounds may be heard on auscultation.
- Pulmonary rales
Abdomen
- 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 may be present
Neurologic
- Confusion and dizziness may be observed
- Mental status may be altered