Show:
anatomy
physiology
physical exam
murmur
manuvers
100
The RV narrows superiorly and joins the pulmonary artery at the level of the sternal angle. This area is call the _____ of the heart
What is Base?
100
Closure of this valve results in the sound heard describes as S1.
What is Mitral Valve?
100
Pressure changes from right atrial filling, contraction, and emptying can be assessed by measuring
What is Jugular Venous Pressure?
100
The configuration of a murmur that grows louder is described as a
What is crescendo murmur?
100
To auscultate aortic regurgitation in instruct the patient to________________________
What is sit up, lean foreward, exhale and stop breathing after expiration?
200
Upon palpation of the precordium the point of maximal impulse is palpated at the ______.
What is Apex?
200
What valves are closed during diastole?
What is Aortic and Pulmonic?
200
The timing of the carotid upstroke in relation to the cardiac cycle is helpful in identifying this
What is S1?
200
This grade of murmur is described as loud with a palpable thrill.
What is 4/6?
200
If I ask a patient to roll in the left lateral decubitus position and auscultate with my bell what murmur am I assessing?
What is mitral stenosis?
300
These two valves are described as being shaped like two half moons.
What is semilunar valves...Aortic and Pulmonic?
300
Which heart sound is affected by inspiration?
What is S2? Split S2 described as A2P2
300
At the intersection of the 4th or 5th intercostal space and the midclavicular line one can palpate the_____
What is PMI?
300
This murmur is described as a harsh holosystolic murmur heard loudest at the apex that does not change with inspiration.
What is Mitral Regurgitation?
300
The following effect on a murmur of mitral valve prolapse in which the click moves earlier in systole and the murmur lengthens is associated with
What is Standing or Valsalva strain?
400
This area of the heart acts as the pacemaker and is located in the right atrium near the junction of the vena cava
What is Sinus Node?
400
Turbulent blood flow that allows blood to leak backward produces a ______________ murmur.
What is regurgitant?
400
To auscultate the pulmonic area one would place there stethoscope here.
What is 2nd left intercostal space?
400
The presence of S2 splitting in this phase of respiration suggest heart disease.
What is expiration?
400
A patient who's systolic crescendo-decrescendo murmur increases intensity with squatting or valsalva release is consistent this.
What is Aortic Stenosis?
500
These muscles contract to prevent inversion or prolapse of these valves in systole.
What are papillary muscles?
500
Atrial contraction produces the following wave form in the jugular veins just before S1 and systole.
What is A wave?
500
To auscultate low pitch sounds such as S3 and S4 one should use the _________ of the stethoscope.
What is BELL?
500
An extra heart sound in diastole such as S3 S4 may be normal in this type of person.
What is an athlete?
500
A measurement greater than this is considered elevated when assessing JVP.
What is >3 above the sternal angle or 8 above the right atrium.