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H&P heart and vessel

LSB left sternal border
PMI point of maximal impulse
PND paroxysmal nocturnal dyspnea
ASD atrial septal defect
VSD ventricular septal defect
PFO patent foramen ovale
MVP mitral valve prolapse
HCM hypertrophic cardiomyopathy
where is the PMI/ apical impulse? mid-clavicular line and 5th left interspace
what are you hearing in S1 closing of mitral valve (and tricuspid)
what are you hearing in S2 closing of aortic valve (and pulmonic)
physiologic splitting of S2 best heard at 2nd and 3rd interspacesheard on inspiration and dissapears on expiration
what does PDA sound like harsh machinery sound
venous hum turbulence in the jugulars, benign, heard above clavicles
what are the 5 areas to listen to supine and in left lateral decubitus aortic, pulmonic, 2nd pulmonic, tricuspid, and mitral
squatting increases venous returnMVP and HCM decreases, AS murmur increases
valsalva decreases venous returnMVP and HCM increases, AS murmur decreases
peripheral arteries to palpate (7) carotid, brachial, radial, femoral, popliteal, dorsalis pedalis, posterior tibial
3 P's of arterial occlusion pallor, pulselessness, pain
what is the purpose of the Allen test ensures the patency of the ulnar artery before puncturing the radial artery
S3 and S4 are heard during diastole
physiologic splitting of S2 accentuated on inspiration and disappears on expiration
Created by: gls8377