RT Book, Section
A1 Jameson, J. Larry
A1 Fauci, Anthony S.
A1 Kasper, Dennis L.
A1 Hauser, Stephen L.
A1 Longo, Dan L.
A1 Loscalzo, Joseph
SR Print(0)
ID 1167066460
T1 Physical Examination of the Heart
T2 Harrison's Manual of Medicine, 20e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260455342
LK accessmedicine.mhmedical.com/content.aspx?aid=1167066460
RD 2024/04/19
AB General  examination  of  a  pt  with  suspected  heart  disease  should  include  vital  signs  (respiratory  rate,  pulse,  blood  pressure)  and  observation  of  skin  color  (e.g.,  cyanosis,  pallor,  jaundice),  clubbing,  edema,  evidence  of  decreased  perfusion  (cool  and  diaphoretic  skin),  and  hypertensive  changes  in  optic  fundi.  Examine  abdomen  for  evidence  of  hepatomegaly,  ascites,  or  abdominal  aortic  aneurysm.  An  ankle-brachial  index  (systolic  bp  at  ankle  divided  by  arm  systolic  bp)  <0.9  indicates  lower  extremity  arterial  obstructive  disease.  Important  findings  on  cardiovascular  examination  include: