khiladi
Forum Newbie
Topics: 9
Posts: 13
|
What is the most sensitive physical exam finding for CHF?
|
| yogesh
Forum Newbie
Topics: 5
Posts: 56
|
JVD (I guess)
___________________
When a person really desires something, all the universe conspires to help him realize his dreams. - Paulo Coelho.
|
| mildus
Forum Guru
Topics: 19
Posts: 614
|
I also think it is jugular venous distension
|
| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,216
|
I think it's the auscultation of rales.
___________________
When men make the rules, God decides the exceptions.
|
| DrVirgo
Forum Hero
Topics: 1043
Posts: 3,345
|
khiladi wrote:
What is the most sensitive physical exam finding for CHF?
Are you asking about Left sided CHF or Right sided CHF?
i think the answer would be different in both cases.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| paheli
It'sAllAboutGoodKarma
Topics: 170
Posts: 2,218
|
I don't think rales would be very specific, right?
I'll go with JVD.
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,216
|
The question is "most sensitive"?!
I am considering left sided CHF as much more common than right.
___________________
When men make the rules, God decides the exceptions.
|
| solitarius
Forum Junior
Topics: 7
Posts: 71
|
Rales
|
| dr19
Forum Senior
Topics: 11
Posts: 115
|
PE findings are little specific to detect compensated CHF.Based on article byRobert Badget(JAMA1997):
very helpfull findings:JVD and abnormal aplical impulse(both for systolic dysfuncion)
(ola Arlete?thanks for your help.)
|
| dr19
Forum Senior
Topics: 11
Posts: 115
|
correction:I mean little sensitive
|
| caza
Forum Newbie
Topics: 0
Posts: 4
|
Edited by caza on 04/19/08 - 02:12 PM
|
| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,216
|
Hi, dr19! I agree with you, compensated CHF may have little findings. I was thinking about decompensated chronic heart failure, with a lots of symptoms, not necessarily a lot of signs.
Still... I can tell you, for the right sided CHF (with or without left sided CHF), we find much more patients with lower extremities edemas than JVDs. JVD happens before the edema in an acute event, such as cardiac tamponade or acute cor pulmonale. Otherwise, the edema and hepatomegaly happen before the JVD.
So... let's wait for khiladi's answer (I hope he/she has it!).
___________________
When men make the rules, God decides the exceptions.
|
| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,216
|
Just another little detail: JVD not necessarily means systolic disfunction, right? I mean, in cardiac tamponade, for example.
___________________
When men make the rules, God decides the exceptions.
|
| doc649
Forum Junior
Topics: 18
Posts: 61
|
what abt S3, I believe S3 gallop is the most consistent Physical finding......
|
| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,216
|
Maybe the most consistent, but it's not as common as rales and edema. The problem is everywhere I read there's a list of symptoms, I didn't find the information of THE most sensitive, THE most prevalent, THE most specific... So I am giving my opinion according to what I experienced with the tons of chagasic patients I had. Not exactly evidence-scientific-100% sure type of answer. 
___________________
When men make the rules, God decides the exceptions.
|
|
| |
| | | | | | | | | | | | | | | |
