Atrioventricular septal defect physical examination

Poor physical development

Inspection:

• Hyperinflated thorax
• Bulging precordium
• Dominant v wave in the jugular venous pulse

Palpation:

• Systolic thrill
• Palpable impulse in the second and third intercostal space representing a dilated pulmonary artery
• Prominent heave at the left sternal border

Auscultation:

• Single first heart sound
• Soft fixed splitting o[[second heart sound
• Sytolic murmur on left lower sternal border
• Loud Pulmonic component of the second heart sound if pulmonary hypertension develops.
• A low-pitched early diastolic rumble may be heart at the lower left sternal border and is related to increased tricuspid valve flow.

• Cyanosis

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