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ABI - ✔✔✔-ratio of BP in lower legs vs the arms
-used to diagnose PAD
-detects stenosis of >50% in major vessels of legs
absent/attenuated sounds - ✔✔✔-NO airflow to the region being auscultated
-can occur in a pneumothorax, hemothorax, pleural effusion, or parenchymal consolidation
Acute MI
-inferior MI - ✔✔✔-II, III, and aVF
afterload - ✔✔✔-vascular resistance against contraction
Anterior MI - ✔✔✔-V3, V4
Assessing JVP - ✔✔✔-reflects right atrial pressure
-horizontal line from top of JVP to ruler, making right angle
-measure distance above sternal angle in centimeters
-3 to 4 CENTIMETER ELEVATION IS NORMAL
Auscultation: bronchial - ✔✔✔-louder and higher in pitch; usually heard over the manubrium
Auscultation: bronchovesicular - ✔✔✔-intermediate intensity and pitch; usually heard over the
1st and 2nd interspaces
Auscultation: tracheal - ✔✔✔-over the trachea and neck, very loud
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Auscultation: vesicular - ✔✔✔-soft and low pitched; usually heard over most of both lungs
Barrel Chest - ✔✔✔-associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as diaphragmatic
flattening
Bell of stethoscope - ✔✔✔--hears low pitched noises
-recommended for extra heart sounds (S3 and S4)
-rumble of mitral stenosis
-to identify some bruits
BP - ✔✔✔-CO x SVR
Bronchophony - ✔✔✔-ask pt to say "99"
-should be muffled and indistinct
-CLEAR sounds are called bronchophony
CAP - ✔✔✔-Cxray often lags behind clinical presentation
cardiac output - ✔✔✔-SV x HR
Cardiac palpation and auscultation sites - ✔✔✔-aortic- 2nd ICS, right sternal border
pulmonic- 2nd ICS, left sternal border
tricuspid- lower left sternal border 4th ICS
mitral- mid clavicular line and 5th ICS (apex)