心脏体格检查视诊英文版

PhysicalExaminationofCardiovascularSystemFORMBBSSTUDENTSMaGuotian,M.D.DepartmentofDiagnosticsTheFirstAffiliatedHospitalofGuangxiMedicalUniversity1心脏体格检查视诊英文版共34页，您现在浏览的是第1页!GeneralConsiderationDuringlifetime,theheartcontractsmorethan4billiontimes.Pumping200millionLbloodtosystemiccirculation.Cardiacoutputvariesunderphysiologicconditionsfrom3to30L/min.Heartratevariesfrom60to150beats/min.2心脏体格检查视诊英文版共34页，您现在浏览的是第2页!PhysicalExaminationofCardiovascularsystem

Inthepresenteraoftechnologicaladvances,particularlyinthevariousimagingmodalities,physicalexaminationoftheheartstillprovidesusefulinformation.

3心脏体格检查视诊英文版共34页，您现在浏览的是第3页!ReviewtheAnatomy4心脏体格检查视诊英文版共34页，您现在浏览的是第4页!Partone

Inspection

5心脏体格检查视诊英文版共34页，您现在浏览的是第5页!ContentsofInspectionThoraciccagedeformityApicalimpulseAbnormalpulsationsinprecordium6心脏体格检查视诊英文版共34页，您现在浏览的是第6页!ThoracicCageDeformity

（inspection）

Asymmetryofthethoraciccageduetoaconvexbulgingoftheprecordiumsuggeststhepresenceofheartdiseasesincechildhood7心脏体格检查视诊英文版共34页，您现在浏览的是第7页!ApicalImpulse

（inspection）Apicalimpulsemainlyresultsfromtheleftventricularcontraction,whenLVcontracts,theapicalknocksatthecorrespondentpositionofanteriorchestwall,resultinginintercostalimpulseoutwardmovement.8心脏体格检查视诊英文版共34页，您现在浏览的是第8页!ApicalImpulse

（inspection）ApicalimpulsedisplacementChangesofintensityandareaof

apicalimpulseInwardimpulse9心脏体格检查视诊英文版共34页，您现在浏览的是第9页!ApicalImpulseDisplacement

Extra-heartfactors:

Obesity,pregnancy,etc.causeelevationofdiaphragm,apicalimpulseshiftstooutwardandupward,atleftthe4thintercostalspaceoutsidemidclavicularline.

10心脏体格检查视诊英文版共34页，您现在浏览的是第10页!ApicalImpulseDisplacement

Extra-heartfactors:

Leptosome;severelypulmonaryemphysema.Thenapicalimpulseshiftstoinwardanddownward,reachesatthe6thintercostalspace.11心脏体格检查视诊英文版共34页，您现在浏览的是第11页!NormalApicalImpulseDisplacementheartshiftstothehealthysidePleuraleffussionintherighttothehealthside12心脏体格检查视诊英文版共34页，您现在浏览的是第12页!LeftVentricleEnlargementNormalLVenlargement13心脏体格检查视诊英文版共34页，您现在浏览的是第13页!ApicalImpulseDisplacementBodypostureDorsaldecubitus.Apicalimpulsemovesalittleupward,ifleftlateraldecubitustheapicalimpulseshiftstotheleft2~3cm.Rightlateraldecubitus.Theapicalimpulseshiftstotheright1~2.5cm.14心脏体格检查视诊英文版共34页，您现在浏览的是第14页!

PhysicalconditionsThicknessofthechestwallEmotionexcitedStrongphysicalactivity

ChangesofIntensityandAreaof

ApicalImpulse15心脏体格检查视诊英文版共34页，您现在浏览的是第15页!InwardImpulseInwardimpulse.Theapexdepressesfarfromthechestinsteadofstrikingthechestduringsystole.Broadbent’ssignisofvalueinthediagnosisofadherentpericardium.ItisalsoseeninRVH.16心脏体格检查视诊英文版共34页，您现在浏览的是第16页!AbnormalPulsationsinPrecordiumInascendingorarchaorticaneurysm,onemaydetectsabnormalpulsationsinaorticarea,withbulgingorpulsationinsystole.Pulmonaryhypertensionwithdilatationthepulsationinsystolemaybedetectedinleftsecondintercostalspacetotheedgeofsternum.17心脏体格检查视诊英文版共34页，您现在浏览的是第17页!Reference《诊断学》第8版，全国规划教材，陈文彬主编，人民卫生出版社，2013年《诊断学》医学英文原版改编双语教材，吕卓人主编，科学出版社，2006年《HistoryandExamination》,JamesMarsh,ChiefEditor,科学出版社，2007年18心脏体格检查视诊英文版共34页，您现在浏览的是第18页!PhysicalExaminationofCardiovascularsystem

Itissimple,convenient,cheapaspremierassessmentoftheseverityandanetiologyofthelesionsandalsoservesasancluetouseadvancedtechniquesforthediagnosisofCVD.19心脏体格检查视诊英文版共34页，您现在浏览的是第19页!RoutineandTechniques

ofPEoftheHeartPatient’sexposureandposition(sittingorlyingdown),withenoughlightandappropriatetemperatureFourparts:inspection,palpation,percussion,andauscultation

20心脏体格检查视诊英文版共34页，您现在浏览的是第20页!Inspection

Precordiumistheregionoftheanteriorsurfaceofthebodycoveringtheheartandlowerthorax.

21心脏体格检查视诊英文版共34页，您现在浏览的是第21页!MethodsofInspectionInspecttheobverseside.Thenobversethepatient’slateralsurface

22心脏体格检查视诊英文版共34页，您现在浏览的是第22页!ThoracicCageDeformity

（inspection）suchascongenitalheartdiseaseandrheumaticheartdisease,withskeletalmoldingtoacmodatecardiacenlargement.23心脏体格检查视诊英文版共34页，您现在浏览的是第23页!ApicalImpulse

（inspection）NormalapicalimpulsePosition:

leftborderofsternum,fifthintercostalspace,insidethemidclavicularline0.5~1.0cmRange: 2~2.5cm

indiameter24心脏体格检查视诊英文版共34页，您现在浏览的是第24页!ApicalImpulse

（inspection）Apicalimpulsedisplacement(1).extra-heartfactors(2).cardiacenlargement(3).bodyposture25心脏体格检查视诊英文版共34页，您现在浏览的是第25页!ApicalImpulseDisplacement

Extra-heartfactors:Abdominaldisease:abdominaltumor,alargenumberofascites,etc.elevationofdiaphragm,apicalimpulseshiftstooutwardandupward

26心脏体格检查视诊英文版共34页，您现在浏览的是第26页!ApicalImpulseDisplacement

Extra-heartfactors:Singlesidepleuralthickening,oradhesion,oratelectasisresultinmediastinumandheartshiftingtothesickside,andtheapicalimpulseshiftstothesickside,too.aorticarch

LVtothesickside27心脏体格检查视诊英文版共34页，您现在浏览的是第27页!ApicalImpulseDisplacementCardiacenlargementRightventricleenlargement.Apicalimpulseshiftstotheleftbutnotdownward.Leftventricleenlargement.Apicalimpulseshiftstotheleftanddownwardatthesametime.28心脏体格检查视诊英文版共34页，您现在浏览的是第28页!BothVentriclesEnlargementBothventriclesenlargementNormal29心脏体格检查视诊英文版共34页，您现在浏览的是第29页!ApicalImpulse

（inspection）Changesofintensityandareaofapicalimpulse

(1).Physicalconditions(2).Pathologicalconditions30心脏体格检查视诊英文版共34页，您现在浏览的是第30页!ChangesofintensityandareaofapicalimpulsePathologicalconditionsEnhancedapicalimpulse:

leftventricularenlargementhyperthyroidismfev