MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...
MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...
MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...
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FM/UOJ<br />
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Examination of pericardium<br />
Inspection and palpation<br />
Surface mark the heart and big vessels<br />
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Locate the apex (it is the lowest and outer most point at which cardiac impulse is felt).<br />
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Explain the factors that could shift the apex.<br />
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Place the palm over the pericardium and feel for other pulsations and thrills. Explain the<br />
causes of other pulsation and thrills.<br />
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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 />
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