Medical Archive

C449 History and Physical Examination in Cardiac Evaluation

History

General physical examination

Blood pressure

• ????? ??? ????? 80-100%
• ???? ??? ?? ????? 40% ??? ??.
• ??? Korotkoff phase 5??, ??? phase 4?? ??? ??? ??.
• ??? ???? ?? ??? ?? 3? ?? ????.

Cardiac examination

??????
??? ?? (40%) ?? ??? 80-100%?. ??? ?? ???

??? ???

• Early or mid-systolic
• Grade I orII intensity that decreases on standing & Valsalva maneuver
• Low-pitched, musical, pure, or squeaky tone at LLSB (Still’s murmur) or high-pitched at LUSB (pulmonary flow murmur)

• Pulmonary flow murmur
  • D/t peripheral pulmonary stenosis
  • Heard after the 1^st day of life when the PDA is closed.
  • Best heard in the pulmonary area with radiation to the axilla and back.
• Still’s murmur
  • m/c (40-80%)
  • ?? ?? ? ? ??? ? ??? ?? ???? ???
• Venous hum
  • ??? ? ??? ???? ? ??? ??? ????? ??? ??.

??? ???

C450 Laboratory Cardiac Evaluation

C450.1 Radiologic Cardiac Assessment

C450.2 Electrocardiography

C450.3 Hematologic Data

C450.4 Echocardiography

C450.5 Exercise Testing

C450.6 Cardiac Imaging Studies

C450.7 Diagnostic and Interventional Cardiac Catheterization