Tricuspid atresia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Keri Shafer, M.D. [2] Priyamvada Singh, MBBS[3] Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Physical Examination
Common physical examination findings associated with fibroadenoma include:[1]
Appearance of the Patient
Tricuspid atresia is a disease of infants. The child is growth retarded and appears cyanotic. The cyanosis is progressive.
Vital Signs
Skin
Bluish discoloration of the skin may be seen.
HEENT
Nasal flaring may be seen.
Neck
- Prominent pulsation of the neck veins
Heart
Inspection
- The apical impulse is hyper-dynamic and shifted to the left.
Palpation
- A thrill can be felt on the left parasternal region of the chest.
Auscultation
- Intensity of S1 may be increased.
- Split S2 may be present.
- A holosystolic crescendo - decrescendo murmur may be present signifying the flow of blood through a ventricular septal defect.
Abdomen
- Liver is enlarged and pulsations may be felt in the right upper quadrant of the abdomen.
- Splenic enlargement
Extremities
References
- ↑ ASTLEY R, OLDHAM JS, PARSONS C (1953). "Congenital tricuspid atresia". Br Heart J. 15 (3): 287–97. doi:10.1136/hrt.15.3.287. PMC 479498. PMID 13059216.