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Heart and Neck Vessels & Peripheral Vascular System and Lymphatic System

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Term
Definition
Angina pectoris   acute chest pain that occurs when myocardial demand exceeds its oxygen supply  
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Aortic regurgitation   (aortic insufficiency) incompetent aortic valve that allows backward flow of blood into left ventricle during diastole  
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Aortic stenosis   calcification of aortic valve cusps that restricts forward flow of blood during systole  
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Aortic valve   the left semilunar valve separating the left ventricle and the aorta  
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Apex of the heart   tip of the heart pointing down toward the 5th left intercostal space  
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Apical impulse   point of maximal impulse (PMI); pulsation created as the left ventricle rotates against the chest wall during systole, normally at the 5th left intercostal space in the midclavicular line  
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Base of the heart   broader area of heart's outline located at the 3rd right and left intercostal spaces  
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Bell (of the stethoscope)   cup-shaped endpiece used for soft, low-pitched heart sounds  
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Bradycardia   slow heart rate, less than 50 beats per minute in the adult  
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Clubbing   bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditions  
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Coarctation of aorta   severe narrowing of the descending aorta, a congenital heart defect  
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Cor pulmonale   right ventricular hypertrophy and heart failure due to pulmonary hypertension  
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Cyanosis   dusky blue mottling of the skin and mucous membranes due to excessive amount of reduced hemoglobin in the blood  
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Diaphragm (of the stethoscope)   flat endpiece of the stethoscope used for hearing relatively high-pitched heart sounds  
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Diastole   the heart's filling phase  
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Dyspnea   difficult, labored breathing  
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Edema   swelling of legs or dependent body part due to increased interstitial fluid  
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Erb's point   traditional auscultatory area in the 3rd left intercostal space  
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First heart sound (S1)   occurs with closure of the atrioventricular valves signaling the beginning of systole  
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Fourth heart sound (S4)   S4 gallop, atrial gallop; very soft, low-pitched ventricular filling sound that occurs in late diastole  
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Gallop rhythm   the addition of a 3rd or a 4th heart sound; makes the rhythm sound like the cadence of a galloping horse  
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Inching   technique of moving the stethoscope incrementally across the precordium through the auscultatory areas while listening to the heart sounds  
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Left ventricular hypertrophy (LVH)   increase in thickness of myocardial wall that occurs when the heart pumps against chronic outflow obstruction (e.g., aortic stenosis)  
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Midclavicular line (MCL)   imaginary vertical line bisecting the middle of the clavicle in each hemithorax  
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Mitral regurgitation   mitral insufficiency; incompetent mitral valve allows regurgitation of blood back into left atrium during systole  
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Mitral stenosis   calcified mitral valve impedes forward flow of blood into left ventricle during diastole  
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Mitral valve   left atrioventricular valve separating the left atrium and ventricle  
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Palpitation   uncomfortable awareness of rapid or irregular heart rate  
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Paradoxical splitting   opposite of a normal split S2 so that the split is heart in expiration, and in inspiration the sounds fuse to one sound  
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Pericardial friction rub   high-pitched, scratchy extracardiac sound heard when the precordium is inflamed  
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Physiologic splitting   normal variation in S2 heard as two separate compenents during inspiration  
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Precordium   area of the chest wall overlying the heart and great vessels  
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Pulmonic regurgitation   pulmonic insufficiency; backflow of blood through incompetent pulmonic valve into the right ventricle  
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Pulmonic stenosis   calcification of pulmonic valve that restricts forward flow of blood during systole  
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Pulmonic valve   right semilunar valve separating the right ventricle and pulmonary artery  
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Second heart sound (S2)   occurs with closure of the semilunar valves, aortic and pulmonic; signals the end of systole  
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Summation gallop   abnormal mid-diastolic heart sound heard when both the pathologic S3 and S4 are present  
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Syncope   temporary loss of consciousness due to decreased cerebral blood flow (fainting); caused by ventricular asystole, pronounced bradycardia, or ventricular fibrillation.  
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Systole   the heart's pumping phase  
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Tachycardia   rapid heart rate, greater than 95 beats per minute in the adult  
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Third heart sound (S3)   soft, low-pitched ventricular filling sound that occurs in early diastole (S3 gallop) and may be an early sign or heart failure  
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Thrill   palpable vibration on the chest wall accompanying severe heart murmur  
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Tricuspid valve   right atrioventricular valve separating the right atrium and ventricle  
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Allen test   test that determines the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of the other artery.  
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Aneurysm   defect or sac formed by dilation in artery wall due to atherosclerosis, trauma, or congenital defect  
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Arrhythmia   variation from the heart's normal rhythm  
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Arteriosclerosis   thickening and loss of elasticity of the arterial walls  
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Atherosclerosis   plaques of fatty deposits formed in the inner layer (intima) of the arteries  
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Bradycardia   slow heart rate, less than 50 beats per minute in the adult  
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Bruit   blowing, swooshing sound heard through a stethoscope when an artery is partially occluded  
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Cyanosis   dusky blue mottling of the skin and mucous membranes due to excessive amount of reduced hemoglobin in the blood  
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Diastole   the heart's filling phase  
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Ischemia   deficiency of arterial blood to a body part due to constriction or obstruction of a blood vessel  
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Lymph nodes   small oval clumps of lymphatic tissue located at grouped intervals along lymphatic vessels  
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Lymphedema   swelling of extremity due to obstructed lymph channel, nonpitting  
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Pitting edema   indention left after examiner depresses the skin over swollen edematous tissue  
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Profile sign   viewing the finger from the side to detect early clubbing  
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Pulse   pressure wave created by each heartbeat, palpable at body sites where the artery lies close to the skin and over a bone  
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Pulsus alternans   regular rhythm, but force of pulse varies with alternating beats of large and small amplitude  
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Pulsus bigeminus   irregular rhythm; every other beat is premature; premature beats have weakened amplitude  
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Pulsus paradoxus   beats have weaker amplitude with respiratory inspiration, stronger with expiration  
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Systole   the heart's pumping phase  
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Tachycardia   rapid heart rate, more than 95 beats per minute in the adult  
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Thrombophlebitis   inflammation of the vein associated with thrombus formation  
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Ulcer   open skin lesion extending into dermis, with sloughing of necrotic inflammatory tissue  
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Varicose veins   dilated tortuous veins with incompetent valves  
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