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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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The epicardial coronary artery system consists of the left and right coronary arteries, which normally arise from ostia located in the left and right sinuses of Valsalva, respectiv
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Companion cells are the specialized cells in the phloem which load sugars into the sieve elements and help to maintain a functional plasma membrane in the sieve elements.
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