western diagnosis----physical examination
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Western Diagnosis----Physical examination
----- Cardiovascular System
Western Diagnosis ------ Physical examination-- Heart
HEART EXAMINATIONInspection and Palpation
1. The Apex-beat5th intercostal space, 0.5-1 cm in the
middle side of midclavicular line, scope diameter 2.0-2.5cm
2. Alteration in the Width and Strength of the Apex-beat
3. The Neighborhood of the Heart in general
Western Diagnosis ------ Physical examination -- Heart
HEART EXAMINATIONPercussion
1. Normal Percussion Figure of the Heart .
2. Enlargement of the Area of Heart-dullness (Hypertrophy and dilatation of the left ventricle, Fluid in the pericardium)
Right boundary (cm) Intercostal space Left boundary (cm)2-3 II 2-32-3 III 3.5-4.53-4 IV 5-6
V 7-9It is about 8-10 cm from midline to Left midclavicular line
Western Diagnosis ------ Physical examination -- Heart
HEART EXAMINATION
Percussion3. Diminution or Loss of Heart-dullness
(emphysema of the lungs, pneumo-pericardium,
4. Displacement (dislocation) of the Heart-dullness (chest flattened or pressed in,
Emphysema of the lungs, pleurisy, Shrinking of the lungs)
Western Diagnosis ------ Physical examination -- Heart
HEART EXAMINATION
Auscultation1. Method
1. Aortic valve : 2d intercostal space, right of sternum.
2. Pulmonic valve : 2d intercostal space, left of sternum
3. Tricuspid valve :left sternal border4. Mitral valve : Apex
Western Diagnosis ------ Physical examination -- Heart
HEART EXAMINATIONAuscultation
2. Normal ConditionThe first and second heart-sounds1st sound : Closure of the mitral and the
tricuspid valves and ventricular contraction.
2d sound : Closure of aortic and pulmonary valve.
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