peripheral Flashcards
What does the a wave represent
R atrial contraction
What does the x decent represnt
R atrial relaxion into verntricular contraction
what does the v wave represent
R atrium fills
What does the y represent
occurs as blood flows into the r ventricle
PAD symtoms
- fatigue aching numbness pain that limits walking
- ed
- poor/non healing wounds
- pain at rest in legs but disappears w movement
- abdominal pain post meals
- any first degree relatives with AAA
Venous problem symptoms
Swelling in LL
Swollen, red, tender veins
-ulcers (around maleoli)
-thickened skin
What represent true claudication
normal abi at rest and will drop w exercie
S1 (where more loud)
closure of mitral + tricuspid
apex
S2 (where more loud)
Closure of aortic/ pulmonic valves
-louder at base
S3 (where)
Ventricular gallop
Apex for LV, 4th icsfor RV
S4 *where(
Atrial gallop
Apex and L sternal border
Ejection click (where)
Aortic valve stenois
2nd r ics
Oppening snap (where
Mitral/ tricuspid valve stenosis
Apex, L sternal border
Innocent/physiological murmur- when, best heard where, intensity
Mid systolic (bw s1-2) 2nd-4th ics no radiation intensity 1-2
Mitral regurgitation- when, where, radiation, associated w what
all thru systolic
Best heard at apex
radiates to axilla
-associated w lat displaced apical impulse
Aortic stensosis- when, sound, where, radiation, associated w what
mid systolic
-harsh creshendo- decrescendo
-right 2, 3rd ICS
Radiates to caotid arteries, left sternal border, apex
Narrow pulse pressue
Aortic regurgitation, when, sound, where, pitch, radiation, associated w what
early diasolic begins at s2
Decresendi into mid late diastole
2nd-4th intercostal
radiates to apex and right sternal border
bounding/ wide pulse (waterhammer)
Mitral stenosis- when, sound, pos
Early to end of diastole begining with OS
decresendo to mid diastole than crescendo till s1
Best heard at apex w pt in left lat decubitus
When is pericardial friction rub heard, pos, sound
During ventricular systol, vendricular and atrial diastol
scratchy, high pitched
best when leaning forward and expired
