NSE 13A/B Lecture Notes - Lecture 6: Heart Valve, Aortic Valve, Auscultation

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Reason for seeking care: asepsis and privacy. Turn to margaret: the patient is alert and well oriented. The patient is dressed appropriately for the setting. Patient can walked on both of her feet in a smooth and well-balanced way. I look at your info, and notice that you are seeking care today because you have pain in your. Nse 13 focus examination: thorax and lungs, abdomen, musculoskeletal, heart and neck vessels. Based on my understanding so far, i need to assess your heart and neck vessels. Ask the patient to take a breath, exhale, and hold still briefly without breathing. Lightly apply the bell of the stethoscope over the carotid artery at three levels: (1) the angle of the jaw (2) the midcervical area (3) the base of the neck. Palpate only one carotid artery at a time. Feel the contour and amplitude of the pulse. The contour is smooth with a rapid upstroke and slower downstroke.

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