Right heart failure physical examination

Skin

 * Cyanosis (Bluish color to the skin)

Cardiovascular

 * Elevated jugular venous pressure (Swelling (distension) of the neck veins)
 * Right sided S3
 * Fixed split S2 in the presence of an atrial septal defect

Abdomen

 * Acites (Abnormal fluid collection in the abdomen)
 * Hepatomegaly (Enlargement of the liver)

Extremities

 * Pedal edema (Swelling of the ankles)