Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Q. Physical Signs of mitral regurgitation?
Pulse is of normal character but carotid upstroke may be brisk. Atrial fibrillation is often present in a patient with advanced disease. Blood pressure is normal. Jugular venous pressure is normal in compensated phase. Left ventricle is often dilated with a downward and laterally displaced forcible apex. A systolic left para sternal lift may be palpable as the regurgitant blood enters the left atrium and this is different from para sternal lift due to prominent right ventricle.
Occasionally systolic thrill of mitral regurgitation is palpable. First heart sound (S1) is usually soft in rheumatic mitral regurgitation but it is normal in mitral valve prolapse. Second heart sound (S2) may be widely split. A third heart sound (S3) may be palpable at the apex. A fourth heart sound (S4) may be seen with recent onset severe mitral regurgitations and sinus rhythm. A holosystolic murmur starting with S1 and ending with S2 due to mitral regurgitation is audible at apex. In mitral valve prolapse it is a mid systolic murmur starting after a mid systolic click.
Murmur radiates to axilla and back with a posteriorly directed jet as seen with anterior leaflet abnormalities, ischaemic and dilated cardiomyopathies. It radiates superiorly and medially towards base with posterior leaftlet abnormalities. Patients with severe mitral regurgitation due to valve pathology have loud and long murmurs while soft, short, barely audible early murmurs are present in patients with functional mitral regurgitation. Murmur is often not audible in patients with acute mitral regurgitation. Physical maneuvers like valsalva, squatting and respiration will help in differentiating it form other systolic murmurs. Mid diastolic murmur may follow an S3 especially in rheumatic mitral regurgitation and is unusual in mitral regurgitations of other etiologies.
Define Some Caution for Inoculating Loops and Needles? 1. Heat the inoculating wire till it becomes red hot. 2. Never use hot inoculating wire for culturing otherwise cells
Limiting Factor - Ecosystem In all ecosystems one factor, usually abiotic, limits the growth of organisms and is therefore called a limiting factor. The limiting factor is one
Demonstration of immune responses and biomarkers: This may be done either on the basis of sero-conversion study on paired sera samples or by challenge (protection) test.
What is the mechanism of lipolysis?
Determine the different types of sensory receptors There are different types of sensory receptors as follows: Visual receptors in the eyes for vision. Auditory receptor
Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4
Define Unintentional Adulteration - Types of Adulteration? These are the contaminations occur unknowingly or incidently in the food during harvesting, handling, transportation,
what is biology
What is katal katal : the amount of enzyme that transforms 1 mol of substrate into product in one second.
Q. Complications of Diabetes? Diabetes, as you know, is a lifelong disease. We have said earlier also that it can be controlled but not cured. Control of diabetes by ensuring n
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd