Tricuspid atresia physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
**Patients with [[ pulmonary stenosis]] and closed PAD usually appear [[cyanotic]] after birth. | |||
*[[Physical examination]] may be remarkable for: | *[[Physical examination]] may be remarkable for: | ||
*[[Normal pulses]] | *[[Normal pulses]] | ||
| Line 15: | Line 15: | ||
*[[clubbing]] in older patients and unrepaired disease. | *[[clubbing]] in older patients and unrepaired disease. | ||
**Patients with high [[pulmonary blood flow ]]]without [[stenotic pulmonary arteries]] and with VSD are not[[ cyanotic]] at birth. | |||
*[[Physical examination]] may be remarkable for signs of overt [[heart failure ]]include: | *[[Physical examination]] may be remarkable for signs of overt [[heart failure ]]include: | ||
Revision as of 15:18, 24 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief:Sara Zand, M.D.[2] Keri Shafer, M.D. [3] Priyamvada Singh, MBBS[4] Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]
Physical Examination
- Patients with pulmonary stenosis and closed PAD usually appear cyanotic after birth.
- Physical examination may be remarkable for:
- Normal pulses
- Diminished right ventricle impulse
- Thrill due to ventricular septum defect (VSD) or severe Pulmonary stenosis(ps)
- Holosystolic murmured in left sternal border due to ventricular septum defect( VSD)
- The continuous murmur of patent ductus arteriosus (PDA), occasionally
- [[Systolic ejection murmur[[ in left upper sternal border due to PS
- clubbing in older patients and unrepaired disease.
- Patients with high pulmonary blood flow ]without stenotic pulmonary arteries and with VSD are notcyanotic at birth.
- Physical examination may be remarkable for signs of overt heart failure include:
- Tachypnea
- poor feeding
- poor growth
Diagnostic Criteria
The diagnosis of tricuspid atresia is made when at least of the following three diagnostic criteria are met in echocardiography: Absent of color flow doppler in tricuspid valve region
- Atrial septum defect (ASD) or patent foramen ovale(PFO)
- Small right ventricle
- Left ventricle dilation
Abdomen
- Liver is enlarged and pulsations may be felt in the right upper quadrant of the abdomen.
- Splenic enlargement