{"id":30899,"date":"2020-04-10T09:51:00","date_gmt":"2020-04-10T04:21:00","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=30899"},"modified":"2021-12-20T22:42:51","modified_gmt":"2021-12-20T17:12:51","slug":"enlarged-rv-in-emphysema-mcq-answer","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/enlarged-rv-in-emphysema-mcq-answer\/","title":{"rendered":"Enlarged RV in emphysema &#8211; MCQ &#8211; Answer"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Enlarged RV in emphysema &#8211; MCQ &#8211; Answer<\/span><\/h2>\n<p><strong><span style=\"color: #0000ff;\">Enlarged right ventricle (RV) in pulmonary emphysema is felt as &#8211; Correct answer: <\/span><span style=\"font-size: inherit; color: #0000ff;\">c) Epigastric pulsation<\/span><\/strong><\/p>\n<p>The classical finding of left parasternal heave will not be appreciated in those with pulmonary emphysema as the lung overlaps the heart in the parasternal region. Right ventricular enlargement in this situation is felt as a prominent epigastric impulse, which can be better appreciated in inspiration. The differential diagnosis of an an epigastric impulse is an aortic pulsation, which is better felt on the ventral aspect of the palpating finger while RV impulse is felt at the tip of the finger.<\/p>\n<p><a href=\"https:\/\/johnsonfrancis.org\/professional\/enlarged-rv-in-emphysema-mcq\/\"><strong>Back to question<\/strong><\/a><\/p>\n<p>Reference: Braunwald&#8217;s Heart Disease: A Textbook of Cardiovascular Medicine, 10th Edition. Chapter 8: Physical Examination of the Heart and Circulation<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enlarged RV in emphysema &#8211; MCQ &#8211; Answer Enlarged right ventricle (RV) in pulmonary emphysema is felt as &#8211; Correct answer: c) Epigastric pulsation The classical finding of left parasternal heave will not be appreciated in those with pulmonary emphysema as the lung overlaps the heart in the parasternal region. Right ventricular enlargement in this [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":26748,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[13],"tags":[],"class_list":["post-30899","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine-mcq-cvs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Enlarged RV in emphysema - MCQ - Answer - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/enlarged-rv-in-emphysema-mcq-answer\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Enlarged RV in emphysema - MCQ - Answer - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"Enlarged RV in emphysema &#8211; MCQ &#8211; Answer Enlarged right ventricle (RV) in pulmonary emphysema is felt as &#8211; Correct answer: c) Epigastric pulsation The classical finding of left parasternal heave will not be appreciated in those with pulmonary emphysema as the lung overlaps the heart in the parasternal region. 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