Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Pulmonary atresia physical examination
Introduction
Overview
Overview
Physical Examination
Physical Examination
Pulmonary Atresia With Intact Ventricular Septum:
- Central cyanosis is present
Heart
Palpation
- Left ventricular impulse is prominent at cardiac apex
- Thrill may be present in case of severe tricuspid regurgitation
Auscultation
Heart Sounds
Murmurs
- A holosystolic murmur indicating tricuspid regurgitation best heard at the left lower sternal border may be present
- In severe tricuspid regurgitation, a diastolic rumble may be present
- A systolic ejection murmur best heard at the left second or third intercostal space indicating the patent ductus arteriosus may be present.
Pulmonary Atresia With Ventricular Septum defect
Heart
Palpation
- PMI is most prominent at the left lower sternal border
Auscultation
Heart Sounds
Murmurs
- Systolic murmur best heard at the lower left sternal border is present
- In presence of patent ductus arteriosus a continuous murmur may be present
- In presence of aortic regurgitation, an early diastolic murmur is present
References
References
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]