Tricuspid regurgitation

Published on 02/04/2015 by admin

Filed under Internal Medicine

Last modified 02/04/2015

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19 Tricuspid regurgitation

Instruction

Examine this patient’s heart.

Examine this patient’s cardiovascular system.

Salient features

History

• Intravenous drug abuse

• Trauma to the chest

• Rheumatic fever

• COPD.

Examination

• Peripheral cyanosis

• Large ‘v’ waves in the jugular venous pulse (Fig. 19.1)

• Left parasternal heave

• Palpable or loud P2

• Pansystolic murmur at the left lower sternal border, which increases in inspiration (Carvallo’s sign)

• Right ventricular third heart sound may be present

• Atrial fibrillation may be present

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