Flashcards in Week 8 - CV, neck, peripheral and lympatic Deck (97)
Common cardiovascular symptoms
Dyspnea, orthopnea, cough
How to check for jugular vein distention
Position the patient with the head of the bed at 30-45 degrees to promote visibility of the pulsation.
Right-side is easier to see.
S3 and S4 sounds are commonly called what?
Extra heart sound: "venous hum"
continuous, rough, noisy, occasionally accomp by high-pitched whine. May be louder during diastole. It's low pitched; heard best w/ bell above the medial third of the clavicles.
Normal in children and pregnancy
Extra heart sound: "Pericardial Friction Rub"
Triple phased during midsystole, mid-diastole, and presystole.
A scratchy, leathery quality results from the parietal and visceral pleura rubbing together.
Sound increases on leaning forward and during exhalation. It is heard best in the 3rd left ICS at the sternal border
Extra heart sound: "summation gallop"
This is the same as the quadruple rhythm but with a faster rate. S3/S4 merge to create one sound.
Extra heart sound: "opening snap"
Indicates mitral valve is mobile & “snaps” during early diastole from high atrial pressure, such as with mitral stenosis
results from an open valve that moves during the beg of systole. Heard best w/ diaphragm of stethoscope-audible over the aortic or pulmonic areas
How to describe intensity (loudness) of murmurs (6 levels)
I. Faint; heard only with special effort
II. Soft but readily detected
III. Prominent but not loud
IV. Loud; accompanied by thrill
V. Very loud
VI. Loud enough to be heard with stethoscope just removed from contact with the chest wall
edema can cause asymmetry in ONE upper exremity when issue is related to ______
edema can cause asymmetry in ONE lower exremity when issue is related to ______
when edema is in BOTH lower extremities, issue could be related to
kidney or CHF
A radial pulse could be weak and thready due to
shock, PAD, hypothyroidism
A radial pulse could be bounding due to
exercise, anxiety, fever, anemia, hyperthyroidism
splenomegaly could be related to
mono, issues with RBC breaking down, sickle cell patients have blood that can clog up at lymphs
Sinus arrhythmia in children is a NORMAL finding - true/false
what is sinus arrhythmia
HR changes on inspiration (faster) and expiration (slower)
In children, it is NORMAL to have extra S sounds (splitting, S1 S2) - true/false
In older adults, why might extra S sounds be present?
Bc heart isn't as compliant, doesn't expand/contract like it used to
in older adults, atherosclerosis can lead to
in older adults, a carotid or abdominal bruit can put organs such as _______ in danger
o Elevated could mean:
-Sunken could mean:
this is seen in obese patients
-Blueish could mean:
cullen sign (internal bleeding)
-excessive abdominal aorta pulsations could mean:
if very bounding, could indicate aneurysm
In distension d/t FECES, auscultation is ______ and percussion is _______over feces
What is a "thrill"
palpable, rushing vibration from turbulent blood flow (cat purr) w/incompetent valves, pulmonary HTN, septal defects, AV fistula
the "lub" heart sound indicates:
S1, systole (AV valves (mitral and tricuspid) close)
the "dub" heart sound indicates:
S2, diastole (SL valves (pulmonic and aortic) close)