PHYSICAL EXAMINATION OFTHE HEART
INSPECTION:> cyanosis-
central
or peripheral- cardiac or pulmonary?> bulge or deformity over chest
PHYSICAL EXAMINATION OF THEHEARTPALPATION:
- peripheral pulses
brachial a.- neonates & infantstemporal a.femoral a.dorsalis pedis a.posterior tibial a.
- pulses: sharp rise, firm, well localized
PHYSICAL EXAMINATION OF THEHEART
PALPATION:PMI
(point of maximal impulse)neonate – 4
th
left ICS MCL> 2y.o. - 5
th
left ICS MCL
precordial bulge – cardiac enlargementsubsternal thrust – R ventricular enlargementapical heave – L ventricular hypertrophyhyperdynamic precordium – large shunts- maybe normal in thin patients
of 00
Thorax to Rectum
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| Category: | Uncategorized. |
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| Upload Date: | 03/02/2009 |
| Copyright: | Attribution Non-commercial |
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