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20 Cards in this Set

  • Front
  • Back
Point of Maximal impulse
- at the apex of the heart
- usually found in the 5th intercostal space just lateral to midclavicular line
S1
-
Bronchophony
- louder, clearer voice sounds
Egophony
- E to A change
- present in lobar consolidation=pneumonia
Whispered Pectoriloquy
- louder, clearer whispered sounds
- should not be heard this way
S1
- closure of the mitral and tricuspid valve
- begining of systole
S2
- Aortic and pulmonary valves close
- then another diastole begins
S3
- rapid deceleration of the column of blood against the ventricular wall.
- occurs after S2
S4
- marks atrial contraction
- not normally heard
- just before S1
Bruit
- sound heard when stethoscope placed over artery
- ex. over carotid
- heard when there are atery problems
Palpitations
- unpleasant awarenss of the heartbeat
-
Atrial fibrillation
- "irregularly irregular"
Orthopnea
- dyspnea that occurs when pt lying down and improves when they sit up
- left ventricular heart failure, mitral stenosis
Thrills
- humming vibrations
- different from bruit which are murmur like sound of a vascular origin
Stethoscope
-diaphragm
- high pitched sounds
- S1 and S2
Stethoscope
- bell
- low pitched sounds
- S3 and S4
- press it very lightly on skin
Intermittent claudication
- exercise induced pain that is absent at rest, makes a pt stop exertion and remits wihtin about 10 min.
Raynaud's Disease
- digital ishemci changes of blanching, followed by cyanosis then rubor with cold exposure and rewarming
Atherosclerosis
- most commonly obstructs arterial circulation in the thigh
Varicose Veins
- dilated and tortuous
- walls may feel somewhat thickened