体格检查--心血管（Physical examination - Cardiovascular）.docVIP

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体格检查--心血管（Physical examination - Cardiovascular）.doc

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体格检查--心血管（Physical examination - Cardiovascular）

体格检查--心血管（Physical examination - Cardiovascular） No. 11: heart visits (Methods and contents in oral, and pointed out the corresponding parts) (18) (1) heart inspection method is correct (4 points): inspected the supine position (or supine) correctly exposed chest. (2 points) the examiner is on the right side of the person who is examined. His vision is up and down, and the chest should be examined at the same level as necessary. (2 points) (2) the candidates described the main contents of the cardiac examination (4 points). (1) observe the range of apical pulse. (1 points) to observe whether there were abnormal beats in the precordial region. (1 points) (3) correctly describe the range of the apex of the examined pulse (6 points). It is possible to correctly point out the apical beat in the intercostal space. (3 points). It is correct to point out that the apex of the examined pulse is normal or diffused. (3 points) (4) the examinee dictated the name of three major pulsation beats in the precordial region, and indicated the location (3 points). The left intercostal edge of the sternum was 3~4 intercostal beat. (1) the subxiphoid pulsation. (1 points) the abnormal beating of the heart bottom. (1 points) (5) ask questions (3, optional by the examiner 2) (2 points). What are the common diseases of the heart anterior expansion? (1 points) what is the change of the apical pulse when the right ventricle is enlarged? What happens to the apical pulse when the left ventricle is enlarged? (1) what does the bulge of the aortic valve mean? (1 points) the medical education network collected and sorted out the following answers: first, heart enlargement is more common in congenital heart disease, rheumatic heart disease, and heart disease after myocarditis. The right ventricular enlargement and apical pulse shifted to the left, but not downward. Left ventricular large apical pulse shifted left to the midline of axillary swelling. Hypertensive heart disease. [remind examinee] (1)