Tricuspid atresia physical examination

Tricuspid atresia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Keri Shafer, M.D. [2] Priyamvada Singh, MBBS[[3]] Assistant Editor-In-Chief: Kristin Feeney, B.S. [[4]]

Physical Examination

Appearance of the Patient

Tricuspid atresia is a disease of infants. The child is growth retarded and appears cyanotic. The cyanosis is progressive.

Vitals

Pulse

Strength

The pulse volume may be low.

Skin

Bluish discoloration of the skin may be seen.

Nose

Nasal flaring may be seen.

Abdomen

• Liver is enlarged and pulsations may be felt in the right upper quadrant of the abdomen.

Heart

• The apical impulse is hyper-dynamic and shifted to the left.
• A thrill can be felt on the left parasternal region of the chest.

Auscultation

• Intensity of S1 may be increased.
• Split S2 may be present.
• A holosystolic crescendo - decrescendo murmur may be present signifying the flow of blood through a ventricular septal defect.

Extremities

• Digital clubbing may be seen.
• Cyanosis may be seen.