Instructions to Examine the Heart

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Slide 1

The most effective method to Examine the Heart Introduction and Inspection

Slide 2

How to Examine the Heart Examine the heart from fringe to focal putting the bits of the confound together as you pass By the time you put the stethoscope on the mid-section you ought to recognize what you will hear Don't leave the bedside and afterward attempt to make sense of what you've listened. Be sure before the exam is over.

Slide 3

Inspection Look for pieces of information to the finding

Slide 4

Inspection Go with the probabilities Long thin individuals have long thin valves (MVP) Males more prone to have aortic valve malady Young-think bicuspid aortic valve Middle age-think rheumatic AV sickness Elderly - think degenerative AV illness Females-think mitral valve ailment MVP significantly more regular than rheumatic MV infection

Slide 5

Down disorder trisomy 21 VSD Turner disorder – Partialdeletion or nonattendance of X chromosome gonadal dysgenesis aortic coarctation bicuspid aortic valve aortic dismemberment Noonan's disorder Dysmophic include short stature,webbed neck Pulmonary stenosis Hypertrophic cardiomyopathy Marfan disorder Myotonic Dystrophy Inspection Identify particular disorders

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MARFAN Syndrome http://www.io.com/~cortese/marfan/photos utilized with consent Body Habitus Tall/thin/long facies Long fingers Thumb sign Wrist sign Ligamentous laxity Scoliosis/kyphosis Pectus excavatum/carinatum Ectopia lentis Narrow long facies High angled sense of taste

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Habitus Tall/thin/long facies Long fingers Thumb sign Wrist sign Ligamentous laxity Scoliosis/kyphosis Pectus excavatum/carinatum Ectopia lentis Aortic analyzation Dilatation of the aorta influencing sinuses of valsalva MVP Mitral spewing forth LV dilatation Dilated aspiratory supply route < age 40 MAC < age 40 Marfan's Syndrome

Slide 8

Long fingers Ligamentous laxity

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Ectopia Lentis in Marfan Syndrome

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Myotonic Dystrophy Autosomal predominant/variable penetrance Myotonia Wasting/shortcoming facial and distal muscles Frontal thinning up top Cataracts Cardiomyopathy Conduction absconds Low insight or dementia

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Inspection Clubbing Cyanosis Xanthoma and xanthelasma Arcus Pectus excavatum

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Differential Diagnosis of Clubbing Cyanotic innate coronary illness Lung ailment Cystic fibrosis Interstitial fibrosis Malignancy Sarcoidosis Bronchiectasis Hyperthyroidism

Slide 14

Arcus senilis (juvenilis) Arcus juvenilis. This ring is connected with untimely atherosclerosis

Slide 16

Xanthelasma

Slide 17

Xanthoma Nodular bulge of the extensor surface of the leg (left board) and in addition different knobs of the arm (right board)

Slide 18

Eruptive xanthoma Bulbous cutaneous ejections connected with hyperlipidemia

Slide 23

Pigmentation because of amiodarone

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