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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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