MRCP PACES Stuff CVS 2

Some more important stuff.

Muffled/absent heart sounds on auscultation

Causes
• Obesity
• Thick chest wall
• Hyperinflated lungs (COPD)
• Pericardial effusion
• Dextrocardia

If the heart sounds are muffled, always listen to the right side for dextrocardia, a fairly common case in PACES.



Collapsing Pulse

Causes
• Aortic regurgitation (AR)
• Patent ductus arteriosus (PDA)
• Venticular septal defect (VSD)
• Moderately severe mitral regugitation
• Thyrotoxicosis
• Fever
• Anaemia
• Pregnancy
• Pagets disease

Posted by: drazeemshePosts: 13 :: 16-05-2009 :: | Reply to this Message