Bradycardia physical examination: Difference between revisions
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== Overview == | ==Overview== | ||
Common physical examination findings of bradycardia include decreased level of consciousness, cyanosis, peripheral edema, pulmonary vascular congestion, dyspnea, poor perfusion and syncope. | Common physical examination findings of bradycardia include decreased level of consciousness, cyanosis, peripheral edema, pulmonary vascular congestion, dyspnea, poor perfusion and syncope. | ||
== Physical Examination == | ==Physical Examination== | ||
=== Appearance of the Patient === | ===Appearance of the Patient=== | ||
*Patients with bradycardia can appear cyanotic and dyspneic. | |||
*Patients with bradycardia can appear cyanotic and dyspneic.<ref name="urlSinus Bradycardia - StatPearls - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK493201/ |title=Sinus Bradycardia - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref> | |||
===Vital Signs=== | |||
*Peripheral pulses reveal a slow and regular heart rate. | *Peripheral pulses reveal a slow and regular heart rate. | ||
=== Skin === | ===Skin=== | ||
*[[Cyanosis]] | *[[Cyanosis]] | ||
=== HEENT === | ===HEENT=== | ||
*HEENT examination of patients with bradycardia is usually normal. | *HEENT examination of patients with bradycardia is usually normal. | ||
=== Neck === | ===Neck=== | ||
*Neck examination of patients with bradycardia is usually normal. | *Neck examination of patients with bradycardia is usually normal. | ||
=== Lungs === | ===Lungs=== | ||
*Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally. | *Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally. | ||
*Dyspnea | *Dyspnea | ||
=== Heart === | ===Heart=== | ||
*Cardiac auscultation and palpation of peripheral pulses reveal a slow, regular heart rate. | *Cardiac auscultation and palpation of peripheral pulses reveal a slow, regular heart rate. | ||
=== Abdomen === | ===Abdomen=== | ||
* [[Abdominal distension]] and | *[[Abdominal distension]] and | ||
* [[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant in case of congestive heart failure. | *[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant in case of congestive heart failure. | ||
===Back=== | |||
*Back examination of patients with bradycardia is usually normal. | *Back examination of patients with bradycardia is usually normal. | ||
=== Genitourinary === | ===Genitourinary=== | ||
*Genitourinary examination of patients with bradycardia is usually normal. | *Genitourinary examination of patients with bradycardia is usually normal. | ||
=== Neuromuscular === | ===Neuromuscular=== | ||
*Neuromuscular examination of patients with bradycardia is usually normal. | *Neuromuscular examination of patients with bradycardia is usually normal. | ||
=== Extremities === | ===Extremities<ref name="urlSinus Bradycardia - StatPearls - NCBI Bookshelf2">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK493201/ |title=Sinus Bradycardia - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref>=== | ||
* [[Clubbing]] | *[[Clubbing]] | ||
* [[Cyanosis]] | *[[Cyanosis]] | ||
* Pitting/non-pitting [[edema]] of the upper/lower extremities | *Pitting/non-pitting [[edema]] of the upper/lower extremities | ||
==References== | ==References== |
Revision as of 17:06, 25 August 2020
Bradycardia Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Bradycardia physical examination On the Web |
American Roentgen Ray Society Images of Bradycardia physical examination |
Risk calculators and risk factors for Bradycardia physical examination |
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Overview
Common physical examination findings of bradycardia include decreased level of consciousness, cyanosis, peripheral edema, pulmonary vascular congestion, dyspnea, poor perfusion and syncope.
Physical Examination
Appearance of the Patient
- Patients with bradycardia can appear cyanotic and dyspneic.[1]
Vital Signs
- Peripheral pulses reveal a slow and regular heart rate.
Skin
HEENT
- HEENT examination of patients with bradycardia is usually normal.
Neck
- Neck examination of patients with bradycardia is usually normal.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally.
- Dyspnea
Heart
- Cardiac auscultation and palpation of peripheral pulses reveal a slow, regular heart rate.
Abdomen
- Abdominal distension and
- Abdominal tenderness in the right/left upper/lower abdominal quadrant in case of congestive heart failure.
Back
- Back examination of patients with bradycardia is usually normal.
Genitourinary
- Genitourinary examination of patients with bradycardia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with bradycardia is usually normal.