A physical examination is performed to look for typical signs of pulmonary hypertension , including a loud S2 ( pulmonic valve closure sound ) , ( para ) sternal heave , jugular venous distension , pedal edema , ascites , hepatojugular reflux , clubbing etc. .
Physical examination is performed to look for typical signs of pulmonary hypertension including a loud P2 ( pulmonic valve closure sound ) , ( para ) sternal heave , jugular venous distension , pedal edema , ascites , hepatojugular reflux , clubbing etc. .