Total anomalous pulmonary venous connection physical examination: Difference between revisions
Line 25: | Line 25: | ||
====Inspection==== | ====Inspection==== | ||
* Precodial asymmetry indicating right ventricular hypertrophy | * Precodial asymmetry indicating right ventricular hypertrophy may be present | ||
====Palpation==== | ====Palpation==== | ||
* Right ventricular [[heave]] | * Right ventricular [[heave]] or lift may be present | ||
====Auscultation==== | ====Auscultation==== | ||
=====Heart Sounds===== | =====Heart Sounds===== |
Revision as of 18:49, 24 October 2012
Total anomalous pulmonary venous connection Microchapters |
Differentiating Total anomalous pulmonary venous connection from other Diseases |
---|
Diagnosis |
Treatment |
Case Studies |
Total anomalous pulmonary venous connection physical examination On the Web |
American Roentgen Ray Society Images of Total anomalous pulmonary venous connection physical examination |
FDA on Total anomalous pulmonary venous connection physical examination |
CDC on Total anomalous pulmonary venous connection physical examination |
Total anomalous pulmonary venous connection physical examination in the news |
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 may be present
Palpation
- Right ventricular heave or lift may be present
Auscultation
Heart Sounds
- Prominent, fixed split second heart sound (S2) is present
- S3 gallop may be present
{{#ev:youtube|f2WYFIT_09Q}}
Murmurs
- Systolic ejection murmur due to increased stroke volume across the pulmonary valve best heard at left upper sternal border may be present. Ejection murmurs are more prominent in unobstructed TAPVC.
- Diastolic murmur due to tricuspid regurgitation may be present.
Abdomen
- Hepatomegaly
Extremities
- Cyanosis (right to left shunt)