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. | **Patients with [[ pulmonary stenosis]] and closed PAD usually appear [[cyanotic]] after birth. | ||
*[[Physical examination]] may be remarkable for:<ref name="pmid19391004">{{cite journal |vauthors=Rao PS |title=Diagnosis and management of cyanotic congenital heart disease: part I |journal=Indian J Pediatr |volume=76 |issue=1 |pages=57–70 |date=January 2009 |pmid=19391004 |doi=10.1007/s12098-009-0030-4 |url=}}</ref> | **[[Physical examination]] may be remarkable for:<ref name="pmid19391004">{{cite journal |vauthors=Rao PS |title=Diagnosis and management of cyanotic congenital heart disease: part I |journal=Indian J Pediatr |volume=76 |issue=1 |pages=57–70 |date=January 2009 |pmid=19391004 |doi=10.1007/s12098-009-0030-4 |url=}}</ref> | ||
*[[Normal pulses]] | *[[Normal pulses]] | ||
*Diminished [[right ventricle]] impulse | *Diminished [[right ventricle]] impulse | ||
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*[[Systolic ejection murmur[[ in [[left upper sternal border]] due to PS | *[[Systolic ejection murmur[[ in [[left upper sternal border]] due to PS | ||
*[[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. | **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: | |||
*[[Tachypnea]] | *[[Tachypnea]] | ||
*[[poor feeding]] | *[[poor feeding]] | ||
Revision as of 05:52, 28 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:[1]
- 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
Extremities
References
- ↑ Rao PS (January 2009). "Diagnosis and management of cyanotic congenital heart disease: part I". Indian J Pediatr. 76 (1): 57–70. doi:10.1007/s12098-009-0030-4. PMID 19391004.