14.06.2015 Views

MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

FM/UOJ<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

Examination of pericardium<br />

Inspection and palpation<br />

Surface mark the heart and big vessels<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

.<br />

Locate the apex (it is the lowest and outer most point at which cardiac impulse is felt).<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

.<br />

Explain the factors that could shift the apex.<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

Place the palm over the pericardium and feel for other pulsations and thrills. Explain the<br />

causes of other pulsation and thrills.<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

.<br />

Percussion<br />

<strong>The</strong> middle finger of the left hand is placed firmly on the part to be percussed.<br />

<strong>The</strong> back of the middle phalanx is then struck with the tip of the middle finger of the right<br />

hand the quality of the sound depends on the nature of the structure. Solid structures and<br />

fluids (heart) produce dull sound and structures containing air (lung) produce resonant<br />

sound. Listen for any change in resonance.<br />

How does percussion help in determining the size of the heart?<br />

Circulation<br />

Page | 107

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!