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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 _____ ñm2, 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 | In patient | Normal |
| Right | ||
| Upper | ||
| Left | ||
| transversal size |
Border’s of hearts absolute dullness
| Border | In patient | Normal |
| Right | ||
| Upper | ||
| Left | ||
| transversal size |
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: 1108
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| Objective examination of the child | | | Respiratory system |