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Describe about cardiac examination?
Physical examination of the cardiovascular system is mainly discussed under four headings i.e., inspection, palpation, percussion and auscultation like any other systemic examination. Ausculation is discussed separately in section 2.6.
Inspection: Cardiac examination begins with inspection of the chest, which is best carried out with the examiner standing by the side or at the foot end of the bed. Respiratory rate, regularity and pattern (abdonmothoracicor thoracic) should be noted Cheyne Stokes respiration suggests low cardiac output. Precordial bulge suggests cardiac enlargement having been developed before puberty.
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Both global and regional systolic function are to be checked. Global measures include ejection fraction, stroke volume, end systolic volume. (For measurement of systolic function u
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