Cardiac amyloidosis physical examination: Difference between revisions
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{{Cardiac amyloidosis}} | {{Cardiac amyloidosis}} | ||
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Cardiac amyloidosis is difficult to diagnose. The findings from an examination are not specific and may indicate enlargement of the heart and fluid retention in the lungs. | Cardiac amyloidosis is difficult to diagnose. The findings from an examination are not specific and may indicate enlargement of the heart and fluid retention in the lungs. | ||
== | ==Physical Examination== | ||
===Vitals=== | |||
====Blood Pressure==== | |||
The blood pressure may be low or may drop when rising to a standing position ([[orthostatic hypotension]]). Orthostatic hypotension is typical especially in kidney involvement. | |||
* | ===Neck=== | ||
*[[Jugular venous pressure|Elevated jugular pressure]] | |||
===Extremities=== | |||
*[[Pedal edema]] | |||
===Abdomen=== | |||
*[[Hepatomegaly]] | |||
*Typical physical findings specific for cardiac amyloidosis: | *Typical physical findings specific for cardiac amyloidosis: | ||
Revision as of 19:06, 3 May 2013
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Cardiac amyloidosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Cardiac amyloidosis physical examination On the Web |
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American Roentgen Ray Society Images of Cardiac amyloidosis physical examination |
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Risk calculators and risk factors for Cardiac amyloidosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor: Cafer Zorkun, M.D., Ph.D. [2]; Lakshmi Gopalakrishnan, M.B.B.S. [3]
Overview
Cardiac amyloidosis is difficult to diagnose. The findings from an examination are not specific and may indicate enlargement of the heart and fluid retention in the lungs.
Physical Examination
Vitals
Blood Pressure
The blood pressure may be low or may drop when rising to a standing position (orthostatic hypotension). Orthostatic hypotension is typical especially in kidney involvement.
Neck
Extremities
Abdomen
- Typical physical findings specific for cardiac amyloidosis:
- Auscultation may reveal rales, heart murmurs, and/or other pathologic heart sounds.
References
- ↑ Rapezzi C, Perugini E, Salvi F, Grigioni F, Riva L, Cooke RM, Ferlini A, Rimessi P, Bacchi-Reggiani L, Ciliberti P, Pastorelli F, Leone O, Bartolomei I, Pinna AD, Arpesella G, Branzi A (2006). "Phenotypic and genotypic heterogeneity in transthyretin-related cardiac amyloidosis: towards tailoring of therapeutic strategies?". Amyloid : the International Journal of Experimental and Clinical Investigation : the Official Journal of the International Society of Amyloidosis. 13 (3): 143–53. doi:10.1080/13506120600877136. PMID 17062380. Retrieved 2012-02-13. Unknown parameter
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