Cardiovascular system

Inspection: During inspection of the chest bulging ________ noted on left side, visible pulsation ______ seen, in _______ intercostals space ____________ line, epigastric pulsation _____ visible. Distended and pulsated neck veins ______ visible during inspection of the neck. Cyanosis ____________________________________________

______________________________________________________________________, edema _______________________________________________________________, ______________________________________________________________________

Palpation: The apical or cardiac trust (beat) (the necessary underline). is located in ______ intercostals space ______________ line, area _____ сm², is positive or negative (the necessary underline). Systolic or diastolic vibratory thrills (the necessary underline) _________ palpable at __________________. Pericardial friction rubs _________________________.

Pulse (rate) is _________ beats per minute; is rhythmic, arrhythmic; is synchronic asynchronic; is full, swift, galloping, large, small, soft, tense, thready; pulse deficit (the necessary underline).

Blood pressure of upper extremities _____ mm Hg, of lower extremities _____ mm Hg.

Border’s of hearts relative dullness

Border’s of hearts absolute dullness

Auscultation: the heart sounds strong, weakened, muffled, rhythmical, arrhythmic (the necessary underline), ________ beats per min. S₁ is heard loudest at the _______ of the heart, S₂ is heard loudest at the _______ of the heart. Presence of accent ____________

_____________________________. Presence of organic, functional, systolic, diastolic, holosystolic, (the necessary underline) murmurs, place of the best auscultation __________

______________________________________________________________________

______________________________________________________________________

duration ________________________________, intensity ________________, timbre __________________, conductance _________________________________________ evaluation of its intensity in relationship to the child’s position ___________________ ______________________________________________________________________.

Extracardiac murmurs ___________________ (pericardial friction rubs, pleurocardiac), localization ____________________________. During auscultations of carotic, subclavicular, femoral arteries, abdominal aorta, jugular veins are heard ______sounds, ___________________ murmurs.

Date: 2015-01-02; view: 935