NSE 13A/B Lecture Notes - Lecture 3: Asepsis, Bruit, Auscultation
14 Apr 2016
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Heart and neck vessels (cardiac) reason for seeking care: my heart hurts. I also would like to ensure privacy and did this by closing the door and everything we say will be kept conidential between us and the health care team . You said your heart hurts, tell me more about that: 4 general findings. You appear to be your stated age, your body parts are equal and symmetrical bilaterally, your posture is slouching and your speaks clearly and understandably in a luent, even pace: pqrstu. Severity of pain how would you rate your pain on an intensity scale (1-10) Understanding of pain what do you think is causing the pain: 3 health history questions. How long does it last: 2 health promotion questions. Note bruit (swishing sound, due to plaque in arteries) Shine light across area & stand on right side. Note: observe the wave and quality of wave. No bulging or chest inlation over heart area.
