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 |
Sara Usman (talk | contribs) →Lungs: <ref name="pmid11858242">{{cite journal| author=Van Orden Wallace CJ| title=Diagnosing and treating pacemaker syndrome. | journal=Crit Care Nurse | year= 2001 | volume= 21 | issue= 1 | pages= 24-31, 35; quiz 36-7 | pmid=11858242 | doi= | pmc= | |
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====Lungs==== | ====Lungs==== | ||
[[Crackles]] may be heard at the bases of the lungs | |||
Pulmonary rales | |||
* | ====Heart==== | ||
*S3 gallop | |||
* 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==== | ||
| Line 49: | Line 51: | ||
*[[Edema]] may be present | *[[Edema]] may be present | ||
*cool extremities | |||
====Neurologic==== | ====Neurologic==== | ||
Revision as of 17:44, 8 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
Pulmonary rales
Heart
- S3 gallop
- Regurgitant murmurs and variability of heart sounds may be heard on auscultation.
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
- cool extremities
Neurologic
- Confusion and dizziness may be observed
- Mental status may be altered