SOLUTIONS VERIFIED AND GRADED A+ ALREADY PASSED
Aortic Listening Point
2nd Inter Costal Space Right of Sternum
Pulmonic Listening Point
2nd Left Intercostal Space
Tricuspid Listening Point
4th Intercostal Space left of sternum
Mitral Listening Point
5th Intercostal Space Mid Clavicular Line
Systole
ventricle contracting
Diastole
ventricle filling
patient position to best hear a murmur
Left Lateral
General Survey involves assessing
general appearance
speech
skin
vital signs
height and weight
Pallor
a lack of reddish color to the skin. due to inadequate circulating blood or hemoglobin
and subsequent deoxygenation
Cyanosis
, a blueish tint to the skin
in darker skinned individuals assess the conjunctiva of the eye.
Jaundice
a yellowish tint to the skin often due to liver problems (increased billiruben) usually first
seen in the sclera of the eye later progressing to skin. The posterior part of the hard
palate of the mouth can also be assessed for jaundice.
Erythema
skin redness associated with a variety of rashes and other conditions
Hyperpigmentation
birthmarks
Hypopigmentation
patches of hypo pigmented skin is called vitiligo
Edema
the presence of excessive interstitial fluid
often areas of tight skin swollen and shinny and will blanch when the skin is depressed.
Vessicles
1.) Varicella (Chicken Pox)
2.) Herpes Simplex
Wheals
a reddened localized collection of edema fluid, irregularly shaped. size carries
often a sign of allergic reaction-also called Hives.
Shape of a normal nail
convex
Shape of a nail of a patient with poor oxygen delivery (Smoker)
Clubbed
Elderly people often have nails that are
thick
Thin nails can be a sign of
Chronic Iron Deficient Anemia