Chron. left-sided HF: Physi. findings General appearance Dyspetic Cyanosis icterus malar flush diminished pulse pressure, reduced SBP, rapid, weak and thready pulse in severe HF Evidence of adrenergic activity Peripheral vasoconstriction (pallor, coldness of extremities and cyanosis of the digits Diaphoresis with sinus tachycardia
11 Chron. left-sided HF ：Physi. findings General appearance Dyspnetic Cyanosis, icterus, malar flush, diminished pulse pressure, reduced SBP, rapid, weak and thready pulse in severe HF Evidence of ↑adrenergic activity Peripheral vasoconstriction (pallor, coldness of extremities and cyanosis of the digits ). Diaphoresis with sinus tachycardia
Chron. left-sided HF: Physi. finding Cardiac findings cardiomegaly Pulmonary rales 3 gallops Moist rales over Accentuation of P2 the lung bases Systolic murmur Rhonchi wheezes Pulsus alternans BS
12 Chron. left-sided HF ：Physi. finding Cardiac findings Cardiomegaly S3 gallops Accentuation of P2 Systolic murmur Pulsus alternans Pulmonary rales Moist rales over the lung bases Rhonchi wheezes ↓BS