Physical exam should consist of a thorough cardiovascular exam, an abdominal exam, and examination of the extremities. Findings to be aware of are cyanosis, JVD, S2 and S3<unk>  sounds, ascites, hepatomegaly, and pedal edema.
Right heart failure physical examination
Pulmonary edema physical examination
Respiratory failure physical examination
Cardiomegaly physical examination
Congestive heart failure physical examination
Diastolic dysfunction physical examination
Cyanosis physical examination
Heart murmur physical examination