Cardiac tumors physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
*Prominent [[A wave]] with elevation of [[JVP]] may be present. | |||
===Auscultation=== | |||
====Heart Sounds==== | |||
*Prolapsing of [[atrial tumor]] into the mitral valve orifice results in delay in closure of mitral valve producing a loud [[S1]]. | *Prolapsing of [[atrial tumor]] into the mitral valve orifice results in delay in closure of mitral valve producing a loud [[S1]]. | ||
*There is a delay in [[P2]], intensity of which depends on the absence or presence of [[pulmonary hypertension]]. | *There is a delay in [[P2]], intensity of which depends on the absence or presence of [[pulmonary hypertension]]. | ||
*Atrial tumor striking against the endocardial wall may produce an early diastolic sound known as the [[tumor plop]]. | *Atrial tumor striking against the endocardial wall may produce an early diastolic sound known as the [[tumor plop]]. | ||
*In some cases [[S3]] and [[S4]] may also be present. | *In some cases [[S3]] and [[S4]] may also be present. | ||
====Murmur==== | |||
*In case of obstruction of [[mitral valve]] by the atrial tumor, a diastolic atrial rumble is heard. | *In case of obstruction of [[mitral valve]] by the atrial tumor, a diastolic atrial rumble is heard. | ||
*If atrial tumor results in damaging of the mitral valves leading to [[mitral regurgitation]] then a systolic murmur is heard at the cardiac apex. | *If atrial tumor results in damaging of the mitral valves leading to [[mitral regurgitation]] then a systolic murmur is heard at the cardiac apex. | ||
*In case of right atrial tumor, a diastolic rumble due to obstruction of the tricuspid valve and a holosystolic murmur due to [[tricuspid regurgitation]] may be present. | *In case of right atrial tumor, a diastolic rumble due to obstruction of the tricuspid valve and a holosystolic murmur due to [[tricuspid regurgitation]] may be present. | ||
==References== | ==References== | ||
Revision as of 22:35, 21 October 2012
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Physical Examination
Auscultation
Heart Sounds
- Prolapsing of atrial tumor into the mitral valve orifice results in delay in closure of mitral valve producing a loud S1.
- There is a delay in P2, intensity of which depends on the absence or presence of pulmonary hypertension.
- Atrial tumor striking against the endocardial wall may produce an early diastolic sound known as the tumor plop.
- In some cases S3 and S4 may also be present.
Murmur
- In case of obstruction of mitral valve by the atrial tumor, a diastolic atrial rumble is heard.
- If atrial tumor results in damaging of the mitral valves leading to mitral regurgitation then a systolic murmur is heard at the cardiac apex.
- In case of right atrial tumor, a diastolic rumble due to obstruction of the tricuspid valve and a holosystolic murmur due to tricuspid regurgitation may be present.