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Physical Diagnosis > Heart exam > Flashcards

Flashcards in Heart exam Deck (17)
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1
Q

s1 - s2

A

systole

av valves closed

2
Q

s2 - s1

A

diastole

semilunar valves closed

3
Q

murmors

A

systolic

  • aortic stenosis
  • mitral regurg
  • pulmonic stenosis
  • tricuspid regurg

MRS ASS PSTR

4
Q

where is PMI located

A

normally 5th ICS MCL

5
Q

what is a thrill

A

palpable murmur

6
Q

heart auscultation

A

A - 2nd right ICS
P - 2nd left ICS
T - 5th left ICS
M - 5th left ICS MCL

7
Q

what is left lateral also called

whats best heard here

A

decubitus

mitral stenosis

8
Q

splitting S2 means what

is this normal

A

closure of aortic and pulmonic valve create s2

pulmonic valve closes slightly after aortic valve during inspiration

yes - best heard at pulmonic and erbs point

9
Q

s3 means what

A

comes after s2

fairly normal - heard in children and athletes

old people indicates heart failure

ventricular gallop
ken-tuck-y

10
Q

s4 means what

A

prior to s1

not normal

active ventricular filling

hypertension perhaps

atrial gallop
tenn-ess-ee

11
Q

rating of murmors

A
1 - heard with careful listening 
2 - readily audible 
3 - louder - no thrill 
4 - loud with thrill 
5 - audible - with only edge of stethoscope applied to chest 
6 - audible without stethoscope
12
Q

what is most common arrhythmia

A

sinus arrhythmia

- pulse rate increases on inspiration

13
Q

what is a pulse deficit

found in

A

radial pulse less than cardiac

found in tachycardia and atrial fibrillation

14
Q

what is bigeminal pulse

found in

A

two beats closely coupled with pause before the next beats

found in premature ventricular contraction, 2ndary heart block

15
Q

what is hyperkinetic pulse

A

bounding strong pulse

quick up stroke with full volume

hypertension, atherosclerosis, anxiety, exercise

16
Q

what is corrigans pulse

A

water hammer pulse, collapsing pulse

brisk pulse with full volume

aortic regurgitation

17
Q

amplitude of pulses grading scale

A
0 - absent 
1 - diminished 
2 - expected 
3 - increased 
4 - bounding