Bradycardia physical examination: Difference between revisions
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===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with bradycardia can appear cyanotic and dyspneic. | *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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===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 |
Revision as of 14:24, 1 October 2020
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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.
- Dyspnea
Heart
- Cardiac auscultation and palpation of peripheral pulses reveal a slow, regular heart rate.
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.