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Cardio Exam
 
 

Pulmonary Stenosis

 
 
 
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Overview

Pulmonary stenosis manifests as an ejection systolic murmur heard loudest over the pulmonary area on inspiration, and may be associated with a split S2 and S4.
  • Signs of Pulmonary Stenosis

  • Peripheral Signs

  • Prominent a wave within the jugular venous pressure
  • Central Signs

  • Parasternal heave
  • Splitting of the second heart sound (S2)
  • Presence of a fourth heart sound (S4)
  • Ejection systolic murmur best heart in the pulmonary area on inspiration
  • Signs of Complciations

  • Evidence of right heart failure - raised JVP, ascites, pleural effusions, peripheral oedema
  • Causes of Pulmonary Stenosis

  • Congenital - rubella, Noonan’s syndrome, William’s syndrome, tetralogy of Fallot
  • Carcinoid syndrome
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