Lesson 13 Flashcards
Small, thready, or weak pulse in cardiogenic shock; bounding pulse in aortic insufficiency
Amplitude of pulse
The speed of upstroke, duration of its summit, and speed of downtroke
Contour of pulse wave
What is the normal upstroke
Brisk
A murmur-like sound of vascular rather than cardiac origin
Bruit
If heart failure is suspected from the patient history or physical examination or if the jugular venous pressure is elevated, perform the _____________
Hepatojugular Reflux Maneuver
For the cardiac examination, the patient should be _______, with the upper body raised by elevating the head of the bed or table to about ______
Supine ; 30°
PMI meaning
Point of Maximum Impulse
It is the first sound
S1
The second sound
S2
It is called “Dub”
S2
It is called “Lub”
S1
______ is usually louder than ______ at the apex
S1 ; S2
______ is usually louder than ______ at the base
S2 ; S1
What intercoastal is apex
5th
To check for thrills, formed by the turbulence of underlying murmurs, by pressing the ________
Ball of your hand
A heart situated on the right side is called
Dextrocardia
In most examinations, it is usually the “point of maximal impulse or PMI”
Apical impulse
If you can not identify the apical impulse with the patient in supine position, ask the patient to roll partly on the “left” side is called
Left Lateral Decubitus position
The Left 2nd Intercostal Space
Pulmonary Area
The Right 2nd Intercostal Space
Aortic Area
It is better for picking up the relatively high-pitched sounds of S1 and S2
Diaphragm
It more sensitive to low-pitched sounds of S3 and S4 and the murmur of mitral stenosis
Bell
We use this part through pericordium
Diaphragm
We use this in the apex
Bell
Rarely used today to estimate cardiac size
Auscultation