Total anomalous pulmonary venous connection physical examination: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Template:Total anomalous pulmonary venous connection}} | {{Template:Total anomalous pulmonary venous connection}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh13579@gmail.com]]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@elon.edu]] | ||
==Overview== | ==Overview== | ||
The physical finding depends on the degree of obstruction and the degree of left-to-right shunting. | The physical finding depends on the degree of obstruction and the degree of left-to-right shunting. | ||
| Line 24: | Line 25: | ||
===Heart=== | ===Heart=== | ||
====Inspection==== | ====Inspection==== | ||
* Precodial asymmetry indicating right ventricular hypertrophy may be present | * Precodial asymmetry indicating right ventricular hypertrophy may be present | ||
| Line 41: | Line 41: | ||
===Abdomen=== | ===Abdomen=== | ||
* Hepatomegaly | * [[Hepatomegaly]] | ||
===Extremities=== | ===Extremities=== | ||
* Cyanosis (right to left shunt) | * [[Cyanosis]] (right to left shunt) | ||
==References== | ==References== | ||
Revision as of 21:16, 8 April 2013
|
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(s)-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
Extremities
- Cyanosis (right to left shunt)