Alcoholic cardiomyopathy physical examination

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Alcoholic cardiomyopathy Microchapters

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Historical Perspective

Pathophysiology

Differentiating Alcoholic cardiomyopathy from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

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History and Symptoms

Physical Examination

Laboratory Findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]; Hardik Patel, M.D.

Overview

Patients with alcoholic cardiomyopathy present with signs similar to that of heart failure. Most common findings include pedal edema, increased jugular venous pressure, pulmonary edema, and abnormal heart sounds.

Physical Examination

Appearance of the Patient

The patient may have altered mental status due to chronic alcoholism.

Vitals

Neck

Extremities

  • Pedal edema
  • Cold extremities with decreased pulse

Lungs

  • Rales may be heard on lung exam due to pulmonary congestion.

Heart

Palpitation

  • Enlargment of the heart with a laterally displaced and diffused point of maximal impulse.

Auscultation

Abdomen

Other sequelae of alcoholic liver disease may also be noted on physical examination.

References


Cardiology


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