Bradycardia physical examination: Difference between revisions

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{{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="pmid29630253">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume=  | issue=  | pages=  | pmid=29630253 | doi= | pmc= | url= }}</ref>
*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.
*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===
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Cardiology]]
[[Category:Cardiology]]

Latest revision as of 14:41, 1 October 2020

Bradycardia Microchapters

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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

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

Abdomen

Back

  • Back examination of patients with bradycardia is usually normal.

Genitourinary

Neuromuscular

Extremities

References

  1. "StatPearls". 2020. PMID 29630253.
  2. Craig, Karen Jean (2010). "Symptomatic bradycardia". Nursing. 40 (12): 72. doi:10.1097/01.NURSE.0000390688.56631.47. ISSN 0360-4039.
  3. "StatPearls". 2020. PMID 29630253.