中国医科大学：《诊断学》课程教学课件（PPT讲稿）Cardiovascular Examination

Cardiovascular Examination Deling Zou

1 Cardiovascular Examination Deling Zou

Anatomy

2 Anatomy

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Inspection 1 Precardial projection and excavation 2 Apical impulse 3 Abnormal pulsations of precardium

4 Inspection 1 Precardial projection and excavation 2 Apical impulse 3 Abnormal pulsations of precardium

Inspection 1 Precardial projection and excavation 1)Precardial projection congenital heart disease:tetralogy of Fallot Valvular heart disease-- MS,PS pericardial effusion (large childhood)

5 1 Precardial projection and excavation 1) Precardial projection • congenital heart disease: tetralogy of Fallot • Valvular heart disease-- MS,PS • pericardial effusion (large , childhood) Inspection

The second right intercostal space(2nd ICS-RS) aneurysm of aortic arch dilatation of ascending aorta 2)flat chest 3)pigeon chest/funnel chest

6 • The second right intercostal space(2nd ICS-RS) • aneurysm of aortic arch • dilatation of ascending aorta 2) flat chest 3) pigeon chest/funnel chest

Inspection 2 Apical impulse *Normal: position-the fifth left intercostal space 0.5-1.0cm medial to the midclavicular line range-2.0-2.5cm in diameter

7 2 Apical impulse *Normal: • position—the fifth left intercostal space 0.5-1.0cm medial to the midclavicular line range—2.0-2.5cm in diameter Inspection

*Abnormal 1)Location #diaphragm: "transverse position"upper,outward obesity ,child,pregnacy; ascites;tumor of abdominal cavity "vertical position"(thin,high, emphysema)inferior,inner

8 *Abnormal 1) Location #diaphragm: • “transverse position” upper,outward • obesity ,child, pregnacy; • ascites; tumor of abdominal cavity • • “vertical position” (thin, high, emphysema) inferior,inner

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#mediastinum: one side pleural effusion or pneumothorax-to the healthy side one side atelectesis or pleural adhesion-to the affected

10 • one side pleural effusion or pneumothorax—to the healthy side • one side atelectesis or pleural adhesion—to the affected #mediastinum: