Dilated cardiomyopathy physical examination

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Overview

Patients with dilated cardiomyopathy (DCM) usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

Physical Examination

Appearance of the Patient

  • Patients with DCM usually appear [general appearance].

Vital Signs

  • High-grade / low-grade fever
  • Tachycardia with regular or irregular pulse (in case of atrial fibrillation)
  • Tachypnea
  • Kussmal respirations may be present in _____ (advanced disease state)
  • Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
  • High/low blood pressure with normal pulse pressure

Skin

HEENT

  • HEENT examination of patients with DCM is usually normal

Neck

Lungs

  • Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
  • Vesicular breath sounds OR distant breath sounds
  • Normal/reduced tactile fremitus

Heart

  • Lateral displacement of the point of maximal impulse (PMI)
  • Right ventricular heave
  • S2 at the base (paradoxical splitting, prominent P2)
  • S3
  • S4
  • S3 Gallops
  • Atrial fibrillation may be present

Abdomen

Back

  • Back examination of patients with DCM is usually normal

Genitourinary

  • Genitourinary examination of patients with DCM is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with DCM is usually normal

Extremities

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