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MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

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FM/UOJ<br />

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Auscultation:<br />

Describe the normal heart sounds and define the areas where they are best heard:<br />

mitral area – apex, tricuspid area – left of lower sternum, aortic area – right second<br />

intercostals space and the pulmonary area – left second intercostals space.<br />

Listen over the apex and other areas and identify the first and second sounds.<br />

Explain the physiological basis of changes in intensity, split in the sounds, audible third<br />

and forth sounds, and presence of added sounds (murmurs and other sounds)<br />

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Investigations:<br />

Electrocardiography<br />

Radiographic examination<br />

External pulse recording<br />

Phonocardiography<br />

Echocardiography<br />

Cardiac catheterization<br />

Coronary angiography.<br />

Circulation<br />

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