Tricuspid stenosis physical examination
|
Tricuspid stenosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Tricuspid stenosis physical examination On the Web |
|
American Roentgen Ray Society Images of Tricuspid stenosis physical examination |
|
Risk calculators and risk factors for Tricuspid stenosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The findings seen on physical examination in patients with tricuspid stenosis are similar to those of mitral stenosis. Since these two lesions often coexist, the diagnosis of tricuspid stenosis may be missed.
Physical Examination
Neck
- An elevated jugular venous pulse may be present.
- "a wave" is prominent but in presence of atrial fibrillation, "a wave" is lost.
- "y" descent is slow.
Heart
Palpation
- Patients with tricuspid stenosis may feature a prominent right atrium palpable to the right of the sternum.
Auscultation
Heart Sounds
- A tricuspid opening snap may be heard if it is not obscured by the sounds of mitral stenosis.
- First heart sound, S1 may be widely fixed.
- Second heart sound, S2 may be single.
Murmurs
- Its a mid diastolic murmur.
- It is caused by the blood flow through the stenotic valve .
- It is best heard over the left sternal border with rumbling character and tricuspid opening snap with wide splitting of S1.
- The murmur of tricuspid stenosis may increase in intensity with inspiration (Carvallo's sign), leg raising and squatting.
- Tricuspid regurgitation oftentimes presents in a similar location, delineated by a holosystolic murmur.
Abdominal
- Patients frequently experience peripheral edema, hepatomegaly and ascites.