Atrioventricular septal defect physical examination

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Atrioventricular septal defect Microchapters

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Differentiating Atrioventricular septal defect from other Diseases

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical Examination

Appearance

Poor physical development

Heart

Inspection:

  • Hyperinflated thorax
  • Bulging precordium
  • Dominant v wave in the jugular venous pulse

Palpation:

  • Systolic thrill
  • Palpable impulse in the second and third intercostal space representing a dilated pulmonary artery
  • Prominent heave at the left sternal border

Auscultation:

  • Single first heart sound
  • Soft fixed splitting o[[second heart sound
  • Sytolic murmur on left lower sternal border
  • Loud Pulmonic component of the second heart sound if pulmonary hypertension develops.
  • A low-pitched early diastolic rumble may be heart at the lower left sternal border and is related to increased tricuspid valve flow.

Extremities

References

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