Final Test Study Guide Chapter 20 – Heart and Neck Vessels Direction of blood through the heart- VENA CAVA RIGHT ATRIUM RIGHT VENTRICAL Pulmonary arteries lungs pulmonary vein left atrium Left ventrical aorta Areas where heart valve closures can be heard-s1‚ loudest at APEX‚ S2 LOUDEST AT BASE OF HEART. Assessment of carotid arteries in an older patient-USE CAUSION‚ LIGHT PALPATIOIN‚ ONE SIDE AT A TIME. ASCULTATE EACH CAROTID ATERY FOR PRESENCE OF BRUIT(SWOOSHING SOUND) INSPECT
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significant calcification of the NAD‚ and a multi-nodular thyroid. The thyroid ultrasound revealed heterogenous masses. An uptake scan was recommended. Moreover‚ his 2D-echo revealed a normal LV size and function with an ejection fraction of 60%. An aortic valve sclerosis and a dilated left atrial cavity were noted. A follow-up visit with the specialist doctors was recommended. He was discharged in stable condition on
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THE CHEST EXAMINATION Physical examination of the chest The chest indicates the region that lies under the neck and above the abdomen. Chest wall is composed of sternum‚ ribs‚ and vertebras. The anterior part is a little shorter than the posterior part. Chest examination includes many components: chest shape‚ chest wall‚ breasts‚ vessels‚ mediastinum‚ bronchus‚ lung‚ pleura‚ heart‚ and lymph nodes‚ etc. In addition to general physical examination‚ the following check methods have been
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Transcathter Management for Neonatal Coarctation Coarctation of the aorta usually affects the aortic aspect of the insertion of the ductus arteriosus (Isthmus). Theoretically‚ it might be explained by a abnormal migration of the ductal smooth muscle cells into the periductal area in early the fetal life. This theory can explain the narrowing and constriction of the aorta in the periductal area. 1 Balloon angioplasty has been used for managing coarctation since early 1980s. There is strong evidence
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xanthelasma’s suggest dyslipidemia and warrant obtaining a lipid panel to assess the need for intervention. If needed‚ Lipitor (10mg/day) will be prescribed. A pulsatile‚ fixed mass was observed in the abdomen upon physical exam‚ possibly an abdominal aortic aneurysm. To investigate this finding further‚ an abdominal ultrasound will be ordered. A chest x-ray will also be ordered to address patient concerns as well as physical exam findings suggesting possible pulmonary congestion. Lastly‚ the patient
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Today is my fifth clinical assignment here at Salt Lake Regional Medical Center the first of two assignments in same day surgery. I had the opportunity again to work alongside Adriana. I was not sure what to expect‚ I had heard other stories from classmates of the surgeries themselves‚ but not much on what how the nursing process works for the operating room nurse. The role that the nurse has during the surgery is a purely supportive person for the surgeons and both the anesthesiologist and surgical
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The heart is a muscular organ about the size of a closed fist that functions as the body’s circulatory pump. It takes in deoxygenated blood through the veins and delivers it to the lungs for oxygenation before pumping it into the various arteries (which provide oxygen and nutrients to body tissues by transporting the blood throughout the body). The heart is located in the thoracic cavity medial to the lungs and posterior to the sternum. On its superior end‚ the base of the heart is attached to the
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Dennervation hypersensitivity damage to the ANS increases the effector response to stimulation Ganglia a cluster of nerve cell bodies that lie outside the CNS Mass activation Divergence-Preganglionic fibers branch to synapse with numerous postganglionic fibers (up‚ down‚ level) Convergence-Postganglionic fibers receive input from numerous preganglionic fibers Sympathetic system is activated as a unit Sympathoadrenal System the closely related functioning adrenal medulla and sympathetic nervous
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2010). Other causes of cardiogenic shock include left ventricular failure‚ dysrhythmias‚ myopathies including valves‚ cardiac tamponade‚ pericarditis‚ pulmonary hypertension and pulmonary embolism (Ignatavicius‚ 2010). Pathophysiology Cardiogenic shock has a downward spiraling pathophysiology that ultimately leads to hypoxemia and
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Leonardo da Vinci was the quintessential Renaissance man‚ whose contributions to the world stretched far beyond his art and included some of the most forward thinking inventions in history. He was skilled in sculpture‚ architecture‚ science‚ history‚ mathematics‚ and is also considered one of the greats painters ever to live. His knowledge of these many different disciplines sums up the Renaissance humanist ideal that emphasized critical thought. Leonardo da Vinci was born in 1452 and little is
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