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13 Cards in this Set

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: an abnormal blowing or swishing sound or murmur heard while auscultating a carotid artery, the aorta, an organ, or a gland, such as the liver or thyroid and resulting from blood flowing through a narrow or partially occluded artery. The specific character of the bruit, its location, and the time of its occurrence in a cycle of other sounds are all of diagnostic importance. Bruits are usually of low frequency and are heard best with the bell of a stethoscope.
bruit
:1. the mechanical movement of the thorax caused by the beating of the hears. It is readily palpable and easily recorded. See also point of maximum impulse. 2. the electrical stimulus generated by the heart for pacing purposes
Cardiac/Apical impulse
: an abnormal enlargement of the distal phalanges with the flattening of the curvature of the nail margin at the cuticle, where the nail meets the cuticle. It usually is associated with cyanotic heart disease or advanced chronic pulmonary disease but sometimes occurs with biliary cirrhosis, colitis, chronic dysentery, thyrotoxicosis, and sickle cell anemia. Clubbing occurs in all the digits but is most easily seen in the fingers. Advanced clubbing is obvious, but early clubbing may be difficult to diagnose. Clubbing is present if the transverse diameter of the base of the fingernail is greater than the transverse diameter of the most distal joint of the digit. The nail base angle measures more than 160 degrees
Clubbing
: the location of the heart in the right hemithorax, either as a result of displacement by disease or as a congenital defect
Dextrocardia
: the period between contractions of the atria or the ventricles during which blood enters the relaxed chambers from the systemic circulation and the lungs. Ventricular diastole begins with the onset of the second heart sound and ends with the first heart sound
Diastole
: a sharp, clicking sound arising from near the heart. It may be caused by sudden swelling of the pulmonary artery, abrupt dilation of the aorta, or forceful opening of the aortic cusps. Ejection clicks are often heard during examination of individuals with septal defects or patent ductus arteriosus. Although they are associated with high pulmonary resistance and hypertension, they are common and of no clinical significance in pregnant women and in many other healthy people
Ejection click
: atrial/ventricular: a third or fourth heart sound, which at certain heart rates sometimes sounds like the gait of a horse.
Gallop
1. a chronic pulmonary disease, similar to human pulmonary emphysema, characterized by wheezing, coughing, and dyspnea on exertion. The cause of the condition is unknown. 2. informal. Vomiting and retching.
Heave:
a gentle blowing, fluttering, or humming sound, such as a heart murmur, susceptible to auscultation. Types of murmurs include systolic, diastolic, and continuous murmurs
Murmur:
: Sound is that of S1-A2-OS with a relatively long A2-OS interval. The opening snap, most commonly caused by mitral stenosis, is thought to be caused by abrupt downward bulging (snapping) of the anterior leaflet as left ventricular pressure drops below left atrial pressure during diastole. A2-OS can be distinguished from a split S2 by dynamic maneuvers (OS intensity increases with inspiration, A2-OS interval widens with standing), a triple S2 (ie, A2-P2-OS), and a louder volume at the apex.
Opening snap
: the rubbing together of inflamed membranes of the pericardium, as may occur in pericarditis or after a myocardial infarction. It produces a sound audible on auscultation. Also called pericardial murmur, pericardial rub
Pericardial friction rub
: 1. the highness or lowness of a tone or sound depending on the rate of vibration of the sound source. 2. (in helical computed tomography) the ration of table advancement per 360-degree rotation of the x-ray tube to the detector collimator
Pitch
: an edema characterized by a condition in which a finger pressed into the skin over an accumulation of fluid will result in a temporary depression in the skin. Normal skin and subcutaneous tissues quickly rebound when the p
Pitting edema