Bradycardia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Bradycardia}} | {{Bradycardia}} | ||
{{CMG}}; {{AE}} | |||
==Overview== | ==Overview== | ||
Common physical examination findings of bradycardia include decreased level of consciousness, cyanosis, peripheral edema, pulmonary vascular congestion, dyspnea, poor perfusion and syncope. | Common physical examination findings of [[bradycardia]] include decreased level of consciousness, [[cyanosis]], [[peripheral edema]], [[pulmonary vascular congestion]], [[dyspnea]], poor [[perfusion]], and [[syncope]]. | ||
==Physical Examination== | ==Physical Examination== | ||
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===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with bradycardia can appear cyanotic and dyspneic.<ref name=" | *Patients with [[bradycardia]] can appear [[cyanotic]] and [[dyspneic]].<ref name="pmid29630253">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29630253 | doi= | pmc= | url= }}</ref> | ||
===Vital Signs=== | ===Vital Signs=== | ||
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===HEENT=== | ===HEENT=== | ||
*HEENT examination of patients with bradycardia is usually normal. | *HEENT examination of patients with [[bradycardia]] is usually normal. | ||
===Neck=== | ===Neck=== | ||
*Neck examination of patients with bradycardia is usually normal. | *Neck examination of patients with [[bradycardia]] is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
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*Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally. | *Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally. | ||
*Dyspnea | *[[Dyspnea]] | ||
===Heart=== | ===Heart=== | ||
*Cardiac auscultation and palpation of peripheral pulses reveal a slow, regular heart rate.<ref name=" | *Cardiac [[auscultation]] and [[palpation]] of peripheral pulses reveal a slow, regular heart rate.<ref name="Craig2010">{{cite journal|last1=Craig|first1=Karen Jean|title=Symptomatic bradycardia|journal=Nursing|volume=40|issue=12|year=2010|pages=72|issn=0360-4039|doi=10.1097/01.NURSE.0000390688.56631.47}}</ref> | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distension]] and | *[[Abdominal distension]] and | ||
*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant in case of congestive heart failure. | *[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant in case of [[congestive heart failure]]. | ||
===Back=== | ===Back=== | ||
*Back examination of patients with bradycardia is usually normal. | *Back examination of patients with [[bradycardia]] is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
*Genitourinary examination of patients with bradycardia is usually normal. | *[[Genitourinary]] examination of patients with [[bradycardia]] is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Neuromuscular examination of patients with bradycardia is usually normal. | *[[Neuromuscular]] examination of patients with [[bradycardia]] is usually normal. | ||
===Extremities | ===Extremities=== | ||
*[[Clubbing]] | *[[Clubbing]]<ref name="pmid296302532">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29630253 | doi= | pmc= | url= }}</ref> | ||
*[[Cyanosis]] | *[[Cyanosis]] | ||
*Pitting/non-pitting [[edema]] of the upper/lower extremities | *Pitting/non-pitting [[edema]] of the upper/lower extremities | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Cardiology]] | |||
[[Category: | |||
Latest revision as of 14:41, 1 October 2020
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Bradycardia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Bradycardia physical examination On the Web |
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American Roentgen Ray Society Images of Bradycardia physical examination |
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Risk calculators and risk factors for Bradycardia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Common physical examination findings of bradycardia include decreased level of consciousness, cyanosis, peripheral edema, pulmonary vascular congestion, dyspnea, poor perfusion, and syncope.
Physical Examination
Appearance of the Patient
- Patients with bradycardia can appear cyanotic and dyspneic.[1]
Vital Signs
- Peripheral pulses reveal a slow and regular heart rate.
Skin
HEENT
- HEENT examination of patients with bradycardia is usually normal.
Neck
- Neck examination of patients with bradycardia is usually normal.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally.
Heart
- Cardiac auscultation and palpation of peripheral pulses reveal a slow, regular heart rate.[2]
Abdomen
- Abdominal distension and
- Abdominal tenderness in the right/left upper/lower abdominal quadrant in case of congestive heart failure.
Back
- Back examination of patients with bradycardia is usually normal.
Genitourinary
- Genitourinary examination of patients with bradycardia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with bradycardia is usually normal.