Total anomalous pulmonary venous connection physical examination: Difference between revisions
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'''Associate Editors-In-Chief:''' {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] | '''Associate Editors-In-Chief:''' {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] | ||
The physical examination in patients with total anomalous pulmonary venous connection depends on the following factors- | '''Overview'''- The physical finding depends on the degree of obstruction and the degree of left-to-right shunting. | ||
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 | * Type of anatomic connection present between systemic and pulmonary venous circulation | ||
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* Type of obstruction (obstructed, unobstructed) | * Type of obstruction (obstructed, unobstructed) | ||
* Amount of right to left shunting | * Amount of right to left shunting | ||
=='''Physical Examination'''== | =='''Physical Examination'''== | ||
'''General Physical examination''' | '''General Physical examination''' | ||
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* Tachypnea (right sided volume overload) | * Tachypnea (right sided volume overload) | ||
* Hepatomegaly, peripheral edema (right sided heart failure) | * Hepatomegaly, peripheral edema (right sided heart failure) | ||
'''Cardiovascular examination''' | '''Cardiovascular examination''' | ||
'''Inspection''' | '''Inspection''' | ||
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'''Palpation''' | '''Palpation''' | ||
* Right ventricular [[heave]] | * Right ventricular [[heave]] | ||
'''Auscultation''' | '''Auscultation''' | ||
Revision as of 14:52, 26 July 2011
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Total anomalous pulmonary venous connection Microchapters |
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Differentiating Total anomalous pulmonary venous connection from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Keri Shafer, M.D. [3]
Overview- The physical finding depends on the degree of obstruction and the degree of left-to-right shunting.
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
Physical Examination
General Physical examination
- Cyanosis (right to left shunt)
- Decreased pulses (low systemic blood flow)
- Hypotension (low systemic blood flow)
- Tachypnea (right sided volume overload)
- Hepatomegaly, peripheral edema (right sided heart failure)
Cardiovascular examination
Inspection
- Precodial asymmetry indicating right ventricular hypertrophy
Palpation
- Right ventricular heave
Auscultation
- Prominent, Fixed split second heart sound (S2)
- S3 gallop
- Systolic ejection murmur at left upper sternal border
- Diastolic murmur due to tricuspid regurgitation