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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.
Immunogenicity Based on immunogenicity studies and experience with other vaccines, the new meningococcal conjugate vaccine (Menactra) should be highly effective in preventing m
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