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Flashcards in peripheral Deck (19)
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1

What does the a wave represent

R atrial contraction

2

What does the x decent represnt

R atrial relaxion into verntricular contraction

3

what does the v wave represent

R atrium fills

4

What does the y represent

occurs as blood flows into the r ventricle

5

PAD symtoms

-fatigue aching numbness pain that limits walking
-ed
-poor/non healing wounds
-pain at rest in legs but disappears w movement
-abdominal pain post meals
-any first degree relatives with AAA

6

Venous problem symptoms

Swelling in LL
Swollen, red, tender veins
-ulcers (around maleoli)
-thickened skin

7

What represent true claudication

normal abi at rest and will drop w exercie

8

S1 (where more loud)

closure of mitral + tricuspid
apex

9

S2 (where more loud)

Closure of aortic/ pulmonic valves
-louder at base

10

S3 (where)

Ventricular gallop
Apex for LV, 4th icsfor RV

11

S4 *where(

Atrial gallop
Apex and L sternal border

12

Ejection click (where)

Aortic valve stenois
2nd r ics

13

Oppening snap (where

Mitral/ tricuspid valve stenosis
Apex, L sternal border

14

Innocent/physiological murmur- when, best heard where, intensity

Mid systolic (bw s1-2)
2nd-4th ics no radiation
intensity 1-2

15

Mitral regurgitation- when, where, radiation, associated w what

all thru systolic
Best heard at apex
radiates to axilla
-associated w lat displaced apical impulse

16

Aortic stensosis- when, sound, where, radiation, associated w what

mid systolic
-harsh creshendo- decrescendo
-right 2, 3rd ICS
Radiates to caotid arteries, left sternal border, apex

Narrow pulse pressue

17

Aortic regurgitation, when, sound, where, pitch, radiation, associated w what

early diasolic begins at s2
Decresendi into mid late diastole
2nd-4th intercostal
radiates to apex and right sternal border

bounding/ wide pulse (waterhammer)

18

Mitral stenosis- when, sound, pos

Early to end of diastole begining with OS
decresendo to mid diastole than crescendo till s1
Best heard at apex w pt in left lat decubitus

19

When is pericardial friction rub heard, pos, sound

During ventricular systol, vendricular and atrial diastol
scratchy, high pitched
best when leaning forward and expired