Cardiomegaly physical examination: Difference between revisions
No edit summary |
|||
| Line 7: | Line 7: | ||
=== Heart === | === Heart === | ||
There is downward and leftward displacement of the heart on percussion of heart border. The heart should be percussed with the patient supine and the head of the bed elevated 30 degrees. | There is downward and leftward displacement of the [[heart]] on percussion of heart border. The heart should be percussed with the patient [[supine]] and the head of the bed elevated 30 degrees. | ||
Normally the left heart border should not | Normally the left heart border should not | ||
*Extend left of the mid clavicular line | *Extend left of the [[mid clavicular line]]. | ||
*Extend more than 10 cm to the left of the mid sternal line | *Extend more than 10 cm to the left of the [[mid sternal line]]. | ||
*Occupy a diameter > 3 | *Occupy a diameter > 3 cms. | ||
*Extend below the 5th intercostal space | *Extend below the 5th [[intercostal space]]. | ||
The body habitus of the individual must be taken into account in performing the examination. In athletic individuals who are thin, the impulse maybe strongly transmitted. In muscular or obese patients, the opposite is true. In patients with [[pectus excavatum]], the apex can be displaced laterally. | The body habitus of the individual must be taken into account in performing the examination. In athletic individuals who are thin, the [[Point of maximum impulse|impulse]] maybe strongly transmitted. In muscular or [[obese]] patients, the opposite is true. In patients with [[pectus excavatum]], the apex can be displaced laterally. | ||
== References == | == References == | ||
Revision as of 16:50, 3 January 2013
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
|
Cardiomegaly Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cardiomegaly physical examination On the Web |
|
Directions to Hospitals Treating Cardiomegaly physical examination |
|
Risk calculators and risk factors for Cardiomegaly physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor in Chief: Cafer Zorkun, M.D., Ph.D. [2]
Physical examination
Heart
There is downward and leftward displacement of the heart on percussion of heart border. The heart should be percussed with the patient supine and the head of the bed elevated 30 degrees. Normally the left heart border should not
- Extend left of the mid clavicular line.
- Extend more than 10 cm to the left of the mid sternal line.
- Occupy a diameter > 3 cms.
- Extend below the 5th intercostal space.
The body habitus of the individual must be taken into account in performing the examination. In athletic individuals who are thin, the impulse maybe strongly transmitted. In muscular or obese patients, the opposite is true. In patients with pectus excavatum, the apex can be displaced laterally.