...
Is there fever? If there is fever, one should look for yellow fever, diphtheria, cerebral abscess, or meningitis. Perhaps the fever is related to increased intracranial pressure ... DIAGNOSTIC WORKUP
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Could the murmur be extracardiac in origin? Extracardiac murmurs include the pericardial friction rub and cardiorespiratory murmurs.
Is the murmur ... DIAGNOSTIC WORKUP
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Is it acute? Acute reduction of the pulse of an extremity may be due to an arterial embolism, dissecting aneurysm, or fracture of the limb.
Does it involve the upper ... DIAGNOSTIC WORKUP
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Bradycardia is defined as heart rate of less than 60 beats per minute. It is a common finding that often does not require treatment in the absence of symptoms.
Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Diastolic heart murmurs are never normal and should always be further evaluated, in contrast to systolic murmurs, which are commonly benign or due to rapid flow rates. The part of the cardiac cycle that the murmur falls into... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Systolic heart murmurs, in contrast to diastolic murmurs, may be normal or abnormal, although when coupled with a heave they are always abnormal. The part of the cardiac cycle that... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Unequal pulses is a difference in blood pressure measurements between both arms or between the arms and the legs. The presence of unequal pulses can help diagnose significant... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Bradycardia is a slow pulse (<90 in infants and <60 in children and adolescents). Causes range from the benign (athletic heart) to the life threatening (sepsis, severe heart block). Assessing>>... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The first consideration on hearing a heart murmur is to determine whether the murmur is functional or organic. Certainly, the low-grade systolic murmurs tend to be functional; if the murmur changes or disappears on position, inspiration, or
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... Bradycardia (a heart rate below 60 beats/min) is not infrequently found during a routine physical examination. Visualizing the conduction system of the heart recalls the sick sinus syndrome, atrioventricular (A-V)
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... Murmurs are auscultatory sounds heard within the heart chambers or major arteries. They’re classified by their timing and duration in the cardiac cycle, auscultatory location, loudness, configuration, pitch, and... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... An abnormal pulse rhythm is an irregular expansion and contraction of the peripheral arterial walls. It may be persistent or sporadic and rhythmic or arrhythmic. Detected by palpating the radial or carotid... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... An absent or a weak pulse may be generalized or affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock and arrhythmia. Localized loss or weakness of a pulse that... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Pulsus paradoxus, or paradoxical pulse, is an exaggerated decline in blood pressure during inspiration. Normally, systolic pressure falls less than 10 mm Hg during inspiration. In pulsus paradoxus, it falls more... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Bradycardia refers to a heart rate of less than 60 beats/minute. It occurs normally in young adults, trained athletes, and elderly people as well as during sleep. It's also a normal response to vagal stimulation caused by coughing, vomiting,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Systolic
Early systolic
Physiologic (innocent)
Small ventricular septal defect
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Murmurs
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Murmurs are auscultatory sounds heard within the heart chambers or major arteries. They’re classified by their timing and duration in the cardiac cycle, auscultatory location, loudness, configuration,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... An abnormal pulse rhythm is an irregular expansion and contraction of the peripheral arterial walls. It may be persistent or sporadic, and rhythmic or arrhythmic. Detected by palpating the radial or carotid pulse, an... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... An absent or weak pulse may be generalized or affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock and arrhythmia. Localized loss or weakness of a pulse that&rsquo... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Pulsus paradoxus, or paradoxical pulse, is an exaggerated decline in blood pressure during inspiration. Normally, systolic pressure falls less than 10 mm Hg during inspiration. In pulsus paradoxus, it falls more than 10 mm Hg. (See ... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Bradycardia refers to a heart rate of less than 60 beats/minute. It occurs normally in young adults, trained athletes, and elderly people as well as during sleep. It’s also a normal... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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Bradycardia
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Paul C. Riggle and Richard W. Harper
Bradycardia, which is defined as a heart rate below 60 beats/minute, results from abnormalities in impulse formation... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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Heart Murmur, Diastolic
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... David E. Anisman and Gerald F. Farnell
A diastolic murmur is a finding that provides a clue to an underlying disease process. Unlike their systolic... Approach ... History ... Physical examination (PE) ... Testing ... Diagnostic assessment ... Pictures
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Heart Murmur, Systolic
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Dale Bishop
Systolic murmurs can herald significant clinical deterioration and sudden death, or they can represent stable or clinically insignificant... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
Sinus Bradycardia
❑ Hypothyroidism
❑ Hypervagotonia
❑... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Aortic regurgitation
❑ Pulmonic regurgitation
❑ Mitral stenosis
❑ Tricuspid stenosis ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Systolic ejection murmur
❑ Mitral regurgitation
❑ Mitral valve prolapse
&... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Aortic stenosis/aortic insufficiency
❑ Pericardial friction rub
❑ Pulmonary... Diagnostic Approach ... Clinical Findings
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Murmurs
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Murmurs are auscultatory sounds heard within the heart chambers or major arteries. They’re classified by their timing and duration in the cardiac cycle, auscultatory location,... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... An abnormal pulse rhythm is an irregular expansion and contraction of the peripheral arterial walls. It may be persistent or sporadic and rhythmic or arrhythmic. Detected by palpating the radial or carotid pulse, an abnormal... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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Bradycardia
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Bradycardia refers to a heart rate of less than 60 beats/minute. It occurs normally in young adults, trained athletes, and elderly people as well as during sleep. It’s also a normal response to vagal... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Pulsus paradoxus is an exaggerated decline in blood pressure during inspiration. Normally, systolic pressure falls less than 10 mm Hg during inspiration. In pulsus paradoxus, it falls more... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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Murmurs
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
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... Murmurs are auscultatory sounds heard within the heart chambers or major arteries. They’re classified by their timing and duration in the cardiac cycle, auscultatory location, loudness, configuration,... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... An abnormal pulse rhythm is an irregular expansion and contraction of the peripheral arterial walls. It may be persistent or sporadic, and rhythmic or arrhythmic. Detected by... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... An absent or weak pulse may be generalized or may affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock and arrhythmia. Localized loss or... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Pulsus paradoxus, or paradoxical pulse, is an exaggerated decline in blood pressure during inspiration. Normally, systolic pressure falls less than 10 mm Hg during inspiration. In pulsus... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Bradycardia refers to a heart rate of less than 60 beats/minute. It occurs normally in young adults, trained athletes, and elderly people as well as during sleep. It’s also a normal response to vagal stimulation... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Normal murmursare due to turbulence of normal blood flow. A normal murmur does not result insymptoms. Cardiovascular exam, chest radiograph, and ECG are normal.Other... Principal Causes of Heart Murmurs (Asymptomatic) ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Murmurs are auscultatory sounds heard within the heart chambers or major arteries. They're classified by their timing and duration in the cardiac cycle, auscultatory location, loudness, configuration, pitch, and quality.
Timing... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... An abnormal pulse rhythm is an irregular expansion and contraction of the peripheral arterial walls. It may be persistent or sporadic and rhythmic or arrhythmic. Detected by... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... An absent or a weak pulse may be generalized or affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Pulsus paradoxus, or paradoxical pulse, is an exaggerated decline in blood pressure during inspiration. Normally, systolic pressure falls less than 10 mm Hg during inspiration. In pulsus paradoxus, it falls more... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Bradycardia refers to a heart rate of less than 60 beats/minute. It occurs normally in young adults, trained athletes, and elderly people as well as during sleep. It's a normal response to vagal stimulation caused by... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
The first consideration on hearing a heart murmur is to determine
whether the murmur is functional or organic. Certainly, the low-grade
systolic murmurs tend to be functional; if the murmur changes or disappears
on... Pictures
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...
Bradycardia (a heart rate below 60 beats per minute) is not
infrequently found during a routine physical examination. Visualizing the
conduction system of the heart recalls the sick sinus syndrome,... Pictures
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...
To develop a list of causes of unequal pulses, let’s trace the arterial
system from its origin in the heart to its termination in the extremities.
Heart. Here is the source of
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... Author:
Yolanda Lewis-Ragland, MD
What to Do - Take Action
The American Academy of Pediatrician's evidence-based guidelines endorse
the use of cephalosporin antibiotics for patients with... Signs and Symptoms of Penicillin Allergy ... Are Cephalosporins a Real Threat? ... Suggested Readings
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