List 4 clinical signs on cardiovascular examination which will support the diagnosis of pulmonary hypertension
° Prominent ‘a’ wave
° Parasternal lift
° Palpable P2
° Loud P2
° Features of tricuspid regurgitation
The signs of pulmonary hypertension are mainly indirect.
The rest are all features of right heart failure.
UpToDate: Clinical features and diagnosis of pulmonary hypertension in adults
SLEEPER, JULIAN C., EDWARD S. ORGAIN, and HENRY D. MCINTOSH. "Primary Pulmonary Hypertension Review of Clinical Features and Pathologic Physiology with a Report of Pulmonary Hemodynamics Derived from Repeated Catheterization." Circulation 26.6 (1962): 1358-1369.
(this is a nice old-school article witrh a discussion of several cases of severe pulmonary hypertension, and its various clinical features)