Professional Documents
Culture Documents
Chapter 19
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Abnormal Findings
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-2
Great vessels
Precordium
Mediastinum
Heart wall
Pericardium
Myocardium
Endocardium
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-3
Slide 19-4
Chambers
Valves
Atrioventricular
Tricuspid
Mitral
Semilunar
Pulmonic
Aortic
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-5
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-6
Cardiac cycle
Diastole
Systole
Heart sounds
Effect of respiration
(cont.)
QuickTime and a
YUV420 codec decompressor
are needed to see this picture.
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-7
Murmurs
Characteristics of sound
Frequency (pitch)
Intensity (loudness)
Duration
Timing
Conduction
Pumping ability
Cardiac output
Preload
Afterload
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-8
Neck vessels
Carotid artery
Jugular veins
Internal
External
Venous pulse and pressure
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-9
Neck Vessels
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-10
Subjective Data
Health History Questions
Chest pain
Dyspnea
Orthopnea
Cough
Fatigue
Cyanosis or pallor
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-11
Edema
Nocturia
Cardiac history
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-12
Preparation
Equipment needed
Marking pen
Small centimeter ruler
Stethoscope with diaphragm and bell endpieces
Alcohol swab
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-13
Carotid arteries
Palpate
Jugular veins
Slide 19-14
Precordium
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-15
Slide 19-16
Auscultatory Areas
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-17
Murmurs
Timing
Loudness
Pitch
Pattern
Quality
Location
Radiation
Posture
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-18
Sample Charting
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-19
Sample Charting
(cont.)
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-20
Abnormal Findings
Ejection click
Midsystolic click
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-21
Abnormal Findings
Opening snap
Summation sound
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-22
Abnormal Findings
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-23
Abnormal Findings
Tetralogy of Fallot
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-24
Abnormal Findings
Midsystolic ejection
murmurs
Diastolic rumbles of
atrioventricular valves
Aortic stenosis
Mitral stenosis
Pulmonic stenosis
Tricuspid stenosis
Pansystolic regurgitant
murmurs
Early diastolic
murmurs
Mitral regurgitation
Aortic regurgitation
Tricuspid regurgitation
Pulmonic regurgitation
Elsevier items and derived items 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Slide 19-25