Auscultation

are absent with auscultation. Her trachea is at midline, and her thyroid is smooth, non-tender and without enlargement or nodules. The client’s scalp is symmetrical without pain, tenderness, or lesions. Chest/Lungs. The client’s chest is symmetrical with a diameter ratio of 1:2. Chest expansion is symmetrical when breathing and is without a lag. The chest is with masses, lesions, or tenderness. Her respirations are even, unlabored, and regular. Fremitus is felt more intensely between the scapulae and around the sternum. The client’s chest sounds during percussion are resonant. Upon auscultation, the client’s lungs sounds are clear without crackles, wheezes, stridor, or friction rubs. The client has no cough or sputum production. Heart/Neck Vessels. Upon auscultation, the client’s heart sounds have a regular rhythm. No murmurs, friction rubs, or any other abnormal heart sounds were heard during auscultation. She has an apical pulse of 76 beats per minute. The client’s carotid arteries were flat and no bruits were heard during auscultation. Abdomen. The client’s abdomen is rounded and symmetrical without any bulging or visible masses. Her skin on the abdomen is smooth and intact with striae on the lower and lateral sides. The client has a one-inch scar in her umbilicus, and a one-inch scar on her upper abdomen residing two inches below the sternum. Bowel sounds are present in all four quadrants. Friction rubs, bruits, and venous hums were absent upon auscultation of the…

that hangs around all physicians necks that gives them a professional aura. We all know what this is, it’s the stethoscope. Have you ever wondered how doctors listened to their patients lungs and heart before the stethoscope was invented? How they made accurate diagnosis without the essential stethoscope all healthcare workers use today? Before the early 1800’s physicians didn’t have a tool to do this. They would place their ear next to the patient's chest and back to hear the sounds of the…

For the cardiovascular assessment the client was maintained in a supine position with the head elevated 30 to 45 degrees for the auscultation and palpation of the carotid vessels and for an inspection, palpitation and auscultation of the precordium. The client was then asked to sit up and lean forward for the auscultation heart sounds; S1 and S2 auscultations are normal and distinct with noisiest sound at the apex of, the pattern and rhythm were normal, no split in sounds or accentuated sounds.…

tissue, such as muscles and bones. Next, dullness is a thump like sound produced by dense tissues such as the liver, spleen, and heart. Resonance is the hollow sound produced by the lungs when filled with air. Hyperresonance is an abnormal booming sound heard in lungs of clients with emphysema. Tympany is a drum-like sound produced by the stomach when it is filled with air. As has been noted flatness reflects the densest areas with the least amount of air, whereas, tympany reflects the less…

Humans, as they are today, have existed for a mere 50,000 years, while the Earth is around 4.54 billion years old. Why, then, have humans disregarded the planet they live on and have chosen to send it to ruin by means of pollution, climate change, and mining deep below the surface? Because of mankind’s actions of destruction, the Earth has awakened from a tranquil slumber and sought restitution towards humanity for disturbing its once-peaceful state. In Auscultation, Steven Church is presenting…

1. Auscultation method is more accurate by using the stethoscope to listen for systolic blood pressure compared to palpation of systolic blood pressure at wrist. It is easier to listen for the ‘tap’ during the systolic pressure rather than palpating for it, as the systolic pressure may not be palpated if it is a weak pulse. 2. Systolic pressure: • Pressure in the arteries when the blood is being pumped out of the heart into the arteries • The maximum blood pressure, when the ventricles are in…

1. Auscultation method provides a closer to true value systolic blood pressure (SBP). Despite the existence of a potential auscultatory gap, where an underestimation of SBP can occur, crosschecking with the palpation method can eliminate this potential error. The palpation method as well is also subjected to many sources of error, such as strength of the pulse, location etc., and it requires the cuff to be more deflated, giving a lower systolic pressure reading, making it only a good estimate. …

There are four tools of clinical examination: inspection, palpation, percussion and auscultation (“Clinical assessment,” n.d.). During a doctor’s inspection of a patient, he or she will want to look at patients with determination and knowledge of potential findings. This can be in the form of acknowledging how the patient walks, looks, acts or even dresses. Inspection is used the most to help diagnose patients with cholangiocarcinoma. According to Kowdley, Lowe, Afdhal, and Anderson (2017),…

The Opera of Existence In music, the pitches and the pauses in a composition contribute to the piece as much as, or even more than, the lyrics themselves. In non-lyrical music, each note must be deliberate, played in a certain way to achieve the desired effect. The crescendos cause feelings of power and anticipation, while decrescendos gather the attention of the audience. Each note adds to the tone of the piece, but silence similarly asserts itself in its demand to be felt. In Gymnopédie…

Meconium Aspiration Syndrome can lead to many complications to the newborn. It occurs when the fetus inhales meconium in the utero or during birth. Post term pregnancy, and macrosomia are the most common cause of intrauterine stress, causing the passage of meconium. The assessments to look for are meconium staining, respiratory distress, barrel- shaped chest, and rales and rhonchi heard on auscultation. The two QSEN’s competencies that will help future nurses develop the knowledge, skills, and…