ҽѧӢÓïØÐÄѪ¹ÜÄڿƳ£Óôʻã
2016/6/10 ҽѧÉú
Symptoms Ö¢×´
chest distressÐØÃÆ
breathlessness Æø´Ù
precordial chest painÐÄÇ°ÇøÐØÍ´
retrosternally chest pain ÐØ¹ÇºóÐØÍ´
occasionally epigastric or interscapular Éϸ¹²¿µÄ/¼çëμäµÄ
sense of impending death ±ôËÀ¸Ð
Signs ÌåÕ÷
Vital signs ÉúÃüÌåÕ÷
pulse rate ÂöÂÉ
dropped beatÂö²«¶Ìç©
temperature: fever /clammy peripheries ËÄ֫ʪÀä
loss of consciousness£¬unconsciousnessÒâʶɥʧ
tic of limbsËÄÖ«³é´¤
gatism£¬urinary and fecal incontinence´óС±ãʧ½û
cardiac apex (4/5th ICS-MCL or displaced laterally) Ðļâ
thrill Õð²ü
cardiac dilatationÐÄÔàÀ©´ó
large right atrium ÓÒ·¿´ó
dilated left ventricle ×óÊÒ´ó
heart sounds: S1,S2,S3,S4
gallop±¼ÂíÂÉ, systolic clickÊÕËõÆÚ¿¨àªÒô, opening snap(¶þ¼â°ê)¿ª°êÒô,pericardial knock Ðİüßµ»÷Òô
heart murmur ÐÄÔàÔÓÒô
systolic/diastolic/continous
crescendo/decrescendo µÝÔö/µÝ¼õ
pitchÒôµ÷
quality ÐÔÖÊ
pericardial friction rub£¬ pericardial rubÐİüĦ²ÁÒô
inspiratory crepitations over the lung bases, basal crackles ·Îµ×ʪ†ªÒô
wheezing rale ÏøÃùÒô
cardiomegaly ÐÄÔà·Ê´ó
elevated venous pressure
distention of jugular vein£¬jugular filling£¬jugular varicosity¾±¾²ÂöÅÕÅ/³äÓ¯
hepatojugular reflux sign¸Î¾±¾²Âö»ØÁ÷Õ÷
ascites ¸¹Ë®
edema of lower extremityÏÂÖ«Ë®Ö×
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