Dextrocardia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Physical examination findings that may be seen in patients with dextrocardia include:[1][2][3]
Appearance of the Patient
- Patients with dextrocardia usually appear normal but when associated with other congenital abnormalities, they may present with cyanosis.
Vital Signs
- Vital signs of patients with fibroadenoma are usually normal.
Skin
HEENT
- HEENT examination of patients with dextrocardia is usually normal.
Neck
- Neck examination of patients with dextrocardia is usually normal.
Lungs
- Pulmonary examination of patients with dextrocardia is usually normal.
Heart
- Prominent apical impulse on the right side of the chest
- Heart sounds easily audible on the right side of the chest
Abdomen
- Abdominal examination of patients with dextrocardia is usually normal.
Back
- Back examination of patients with [disease name] is usually normal.
OR
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary
- Genitourinary examination of patients with [disease name] is usually normal.
OR
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Neuromuscular examination of patients with [disease name] is usually normal.
OR
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is ___ / 15
- Clonus may be present
- Hyperreflexia / hyporeflexia / areflexia
- Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally/bilaterally
- ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
- Unilateral/bilateral upper/lower extremity weakness
- Unilateral/bilateral sensory loss in the upper/lower extremity
- Positive straight leg raise test
- Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
- Positive/negative Trendelenburg sign
- Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
- Normal finger-to-nose test / Dysmetria
- Absent/present dysdiadochokinesia (palm tapping test)
Extremities
References
- ↑ Arunabha DC, Sumit RT, Sourin B, Sabyasachi C, Subhasis M (2014). "Kartagener's syndrome: a classical case". Ethiop J Health Sci. 24 (4): 363–8. doi:10.4314/ejhs.v24i4.13. PMC 4248037. PMID 25489202.
- ↑ Maldjian PD, Saric M (2007). "Approach to dextrocardia in adults: review". AJR Am J Roentgenol. 188 (6 Suppl): S39–49, quiz S35-8. doi:10.2214/AJR.06.1179. PMID 17515336.
- ↑ Dilorenzo M, Weinstein S, Shenoy R (2013). "Tetralogy of fallot with dextrocardia and situs inversus in a 7-year-old boy". Tex Heart Inst J. 40 (4): 481–3. PMC 3783122. PMID 24082385.