Cardiovascular Exam *Dr. Johnston* Flashcards Preview

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Flashcards in Cardiovascular Exam *Dr. Johnston* Deck (26):
1

IPPA

inspection, palpation, percussion, auscultation

2

NORMAL HEART
Five Finger Method
 

- History
- Physical
- ECG
- X-Ray
- Lab Tests

3

People with hypothyroid and hypertertension are prone to...

Hyperlipidemia

4

_____ ,the furthermost point outwards (laterally) and downwards (inferiorly) from the sternum at which the cardiac impulse can be felt.

point of maximum impulse (PMI)

5

pale, anemia, shock

Pallor 

6

turbulent blood flow causing murmurs

Thrills 

7

gently lifts palpating fingers

Apex beat

8

Apex

5th ICS, left, 1 cm. Medial to MCL

 Point of maximum intensity (PMI)

 

9

 Mitral and tricuspid closure
 Beginning of ventricular systole

S1

10

 Aortic and pulmonic closure
 Marks end of systole, beginning of diastole

S2

11

How do you want to start percussion?

Start laterally and move medially. 

Starts hyper resonnant due to air and then duller due to tissue.

12

Sound @ 2nd ICS to the R of sternum

Aortic V.

13

Pulmonic valve sound location

2nd ICS L of sternum

14

4th ICS at LSB

Tricuspid valve

15

Mitral 

Apex of heart
5th Left ICS at mid - clavicular line

16

Sound at beginning of systole

S1 sound. Mitral valve closes first and then Tricuspid valve.

Loudest at apex.

17

Sound at the end of systole

S2 sound, aortic valve closes first and then the pulmonic valve.

It's loudest at the base of the heart.

18

S3 gallop

Blood hitting the heart septum. In adults it can be heart failure.

19

S4

Thought to be atrial contraction.

20

Systolic murmurs occur between __ and __.

S1 and S2.

21

Diastolic murmurs occur between __ and __.

S2 and S1.

22

Cardiac Output Formula

CO = SV x HR

23

Volume of blood ejected per beat formula

End Diastolic Volume - End Systolic Volume

24

Preload

End Diastolic Volume

25

Ejection Fraction Formula

EF = SV/EDV

Normal is in the 50% - 60% range.

26