Physical Examination
Findings on physical examination may suggest PH, or the presence of underlying conditions associated with PH.
List five physical signs that are suggestive of PH.
Answers:
Physical signs of PH include:
- Left parasternal heave
- Accentuated pulmonary component of the second heart sound
- Pansystolic murmur of tricuspid regurgitation
- Raised JVP
- Hepatomegaly
- Ascites
- Peripheral odoema
Other signs may suggest an underlying cause of PH such as:
- Telangiectasia and sclerodactyly in scleroderma;
- Inspiratory crackles in interstitial lung disease
- Spider naevia and palmar erythema in liver disease;
- Digital clubbing in cyanotic congenital heart disease, interstitial lung disease or liver disease