Total anomalous pulmonary venous connection physical examination: Difference between revisions
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{{Template:Total anomalous pulmonary venous connection}} | {{Template:Total anomalous pulmonary venous connection}} | ||
{{CMG}} | {{CMG}} '''Associate Editor-In-Chief:'''{{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]] '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]] | ||
==Overview== | |||
'''Associate Editor-In-Chief:'''{{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]] | The physical finding depends on the degree of obstruction and the degree of left-to-right shunting. | ||
'''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]] | |||
==Physical Examination== | |||
The '''physical examination''' in patients with total anomalous pulmonary venous connection '''depends''' on the following factors- | The '''physical examination''' in patients with total anomalous pulmonary venous connection '''depends''' on the following factors- | ||
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* Amount of right to left shunting | * Amount of right to left shunting | ||
===Vitals=== | |||
== | ====Pulse==== | ||
* Decreased pulses (low systemic blood flow) | * Decreased pulses (low systemic blood flow) | ||
====Blood Pressure==== | |||
* Hypotension (low systemic blood flow) | * Hypotension (low systemic blood flow) | ||
====Respiratory Rate==== | |||
* Tachypnea (right sided volume overload) | * Tachypnea (right sided volume overload) | ||
* | * Peripheral edema (right sided heart failure) | ||
===Heart=== | |||
====Inspection==== | |||
* Precodial asymmetry indicating right ventricular hypertrophy | * Precodial asymmetry indicating right ventricular hypertrophy | ||
====Palpation==== | |||
* Right ventricular [[heave]] | * Right ventricular [[heave]] | ||
====Auscultation==== | |||
* Prominent, Fixed split second heart sound (S2) | * Prominent, Fixed split second heart sound (S2) | ||
* [[S3 gallop]] | * [[S3 gallop]] | ||
* Systolic ejection [[murmur]] at left upper sternal border | * Systolic ejection [[murmur]] at left upper sternal border | ||
* Diastolic murmur due to tricuspid regurgitation | * Diastolic murmur due to tricuspid regurgitation | ||
===Abdomen=== | |||
* Hepatomegaly | |||
===Extremities=== | |||
* Cyanosis (right to left shunt) | |||
==References== | ==References== | ||
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[[Category:Congenital heart disease]] | [[Category:Congenital heart disease]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Disease]] | |||
[[ | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 19:50, 12 October 2012
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Total anomalous pulmonary venous connection Microchapters |
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Differentiating Total anomalous pulmonary venous connection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Total anomalous pulmonary venous connection physical examination On the Web |
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American Roentgen Ray Society Images of Total anomalous pulmonary venous connection physical examination |
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FDA on Total anomalous pulmonary venous connection physical examination |
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CDC on Total anomalous pulmonary venous connection physical examination |
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Total anomalous pulmonary venous connection physical examination in the news |
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Blogs on Total anomalous pulmonary venous connection physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief:Cafer Zorkun, M.D., Ph.D. [2]; Keri Shafer, M.D. [3] Priyamvada Singh, MBBS [[4]] Assistant Editor-In-Chief: Kristin Feeney, B.S. [[5]]
Overview
The physical finding depends on the degree of obstruction and the degree of left-to-right shunting.
Physical Examination
The physical examination in patients with total anomalous pulmonary venous connection depends on the following factors-
- Type of anatomic connection present between systemic and pulmonary venous circulation
- Degree of obstruction
- Type of obstruction (obstructed, unobstructed)
- Amount of right to left shunting
Vitals
Pulse
- Decreased pulses (low systemic blood flow)
Blood Pressure
- Hypotension (low systemic blood flow)
Respiratory Rate
- Tachypnea (right sided volume overload)
- Peripheral edema (right sided heart failure)
Heart
Inspection
- Precodial asymmetry indicating right ventricular hypertrophy
Palpation
- Right ventricular heave
Auscultation
- Prominent, Fixed split second heart sound (S2)
- S3 gallop
- Systolic ejection murmur at left upper sternal border
- Diastolic murmur due to tricuspid regurgitation
Abdomen
- Hepatomegaly
Extremities
- Cyanosis (right to left shunt)