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21. INSPECTION AND PALPATION OF PERIPHERAL VESSELS. RESEARCH OF THE ARTERIAL PULSE. PULSE PROPERTIES (7 BASIC PROPERTIES).

Inspection of arteries: In young people, at rest, a pulsation can be observed: 1. Carotid artery on the neck. 2. Truncus brachiocephalicus in the jugular fossa. 3. Connect the arter in the subhole. 4. Abdominal aorta. In older people, an additional definition of pulsating arteries: 5. Shoulder 6. Elbow 7. Superficial temporal temporal pulsation; art can be detected in healthy people, which means physical and / or emotional stress. when ^ art pressure, ^ speed of blood flow, V ejection of the left ventricle. Palpation of the arteries about the rights: 1) palpation with the tips of II, III, and IV pal-v; 2) a large palp was never used for research. The most common palpation tests are: 1 - radial, 2 - carotid, 3 - temporal, 4 - brachial arteries, 5 - abdominal aorta, 6-femoral, 7 - popliteal, 8 - dorsal arteries of the foot. Properties of the pulse: P is the rhythmic fluctuations of the wall of the art, due to the release of blood into the arterial system and the change of P into the systole and diastole of the heart. 1. Is the pulse the same for both beams art. This is established by comparing the floor and voltage P.
2. The second moment of examining the tab into the fill definition P II and IV fingers constantly control P on the artery, the III finger presses the artery until P disappears up to the moment when the II finger ceases to feel P. III finger at the same time makes a movement that is perceived as the diameter of the vessel. 3. The third method was used to determine the voltage P. It is estimated by the force with which the third finger compresses the artery until it is pinched and disappears П at the point controlled by the second finger 4. The pulse wave form includes a description of its qualities, which can be presented graphically in the form of anacrot and catacrot. 5. Rhythm P. 6. Frequency P norms, heart rate is considered to be from 60 to 90 pool waves in 1 min. 7. Elasticity of the vessel wall. The criterion of the wall elasticity for the artery ray is considered to be that after clamping P, it is not a palpir. Forming is cursed if, when examining the definition of the norms of the P-P rule, P is equal on both hands, satisfactory filling, tension. The shape of the p-ow wave is correct. R rhythmic, not frequent, vessel wall elast.
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21. INSPECTION AND PALPATION OF PERIPHERAL VESSELS. RESEARCH OF THE ARTERIAL PULSE. PULSE PROPERTIES (7 BASIC PROPERTIES).

  1. 22. RESEARCH OF PERIPHERAL VESSELS. PROPERTIES OF THE ARTERIAL PULSE IN PATHOLOGY (CHANGE OF RHYTHM, FREQUENCY, FILLING, VOLTAGE, WAVE FORM, PROPERTIES OF THE VASCULAR WALL OF THE VESSEL).
    On palpation of the common carotid, humeral, ulnar, temporal, femoral, popliteal, and rear art stops, the tasks are narrowed down to an approximate assessment of the pulsatory movements by voltage and filling. The carotid artery is palpated on the left and right in a delicate way, removing the sternoclavicular-nipple muscle outwards at the level of the thyroid cartilage, palpating the facts of the common carotid artery on the left and right.
  2. 16. INSPECTION AND PALPATION OF THE HEART AREA. RESEARCH OF THE TOP APPLICATION, EDUCATION MECHANISM, ITS PROPERTIES IN NORMAL AND PATHOLOGY. PUSH OF RIGHT VENTRICLE, EDUCATIONAL MECHANISM, DIAGNOSTIC VALUE.
    heart disease. These include: cardiac hump, visible pulsation in various departments, expansion of skin veins in the heart. You should pay attention to the features of the skeleton of the chest. The heart hump is a protrusion of the chest in the region of the heart, associated with a significant increase in its size. Significantly increased apical impulse can be determined visually, moreover
  3. 31. PRINCIPLES OF A DEEP SLIDING, TOPOGRAPHIC METHODICAL PALPATION OF ANIMAL BY V.P. OBRAZTSOV. INTESTINAL PALPATION (7 PROPERTIES).
    as you exhale, muscle tone decreases and the hand lowers in time with the movement of the abdominal wall and reaches the back wall in 3-5 respiratory movements of the cysts. The sliding of the fingers along with the skin fold is performed on the exhale. 1. when the studied organ is relatively motionless, and the movement is carried out by the brush, and the fingers glide along the studied organ. 2. the hand is motionless, and the studied organ moves with deep
  4. PULSE STUDY
    One of the great achievements of ancient Chinese doctors is the idea of ​​the circular movement of blood. The "Canon of the Inner" says that the heart continuously drives blood in a circle, and the doctor can judge by the pulse on the movement of blood. "Pulse is the inner essence of one hundred parts of the body and the most subtle expression of the inner spirit." Chinese doctors distinguished more than 20 types of pulse. They concluded that every organ
  5. Examination of the patient's pulse and recording readings in the temperature sheet
    Indications 1. Assessment of the state of the cardiovascular system. 2. Appointment of a doctor. Contraindications None. Features 1. Watch with a second hand. 2. Fountain pen. 3. Temperature sheet. Possible patient problems Negative attitude to the intervention. Physical damage. Evaluation of the results Pulse investigated. The data are entered in the temperature sheet. The sequence of actions m / s to ensure
  6. BASIC PROCESSES OF HEMODYNAMICS. BLOOD PRESSURE. PULSE
    The movement of blood through the cardiovascular system is determined by hemodynamic processes that reflect the physical phenomena of fluid movement in closed vessels. Hemodynamics is determined by two factors: pressure on the fluid and the resistance experienced by friction against the walls of blood vessels and vortex movements. The force that forms the pressure in the vascular system is the heart. In an adult in
  7. 32. INSPECTION OF THE ABDOMINAL, PALPATION, PERCUSSION OF THE STOMACH, PATHOLOGICAL SYMPTOMS. DIAGNOSTIC VALUE. METHODS OF STUDYING THE FUNCTIONAL STATE OF THE STOMACH. MAIN CHARACTERISTICS.
    When examining, it is necessary to pay attention to its size, shape, symmetry, respiratory movements, peristalsis, and the condition of the abdominal wall. Percussion of the stomach: a low tympanic sound is usually determined, and high above the intestine. Percussed in the midline from the area of ​​intestinal tympanitis up and measure the distance from the navel. Auscultatory palpation: the socket is placed in the epigastric
  8. Physical properties of water (temperature, transparency, color, taste, smell) and the effect of these properties on human health.
    These include smell, taste, color and transparency, that is, those properties that can be determined by the human senses. Turbid, dyed in any color or having an unpleasant smell and taste, the water is not sanitary-hygienic inadequate even if it is harmless to the human body. Deterioration of the properties of water adversely affects the drinking water regime, reflexively
  9. General reasoning about the pulse
    Pulse is the movement of blood vessels, composed of compression and expansion, [in order to] cool the pneuma with a light breath of air. Consider [you can] the pulse either in general or in particular in relation to each disease. Here we will talk about the general rules of the science of the pulse, and we will postpone the private ones until we talk about particular diseases. We say: each ripple is composed of two movements and two
  10. 20. HEART NOISES. CLASSIFICATION. Intracardial noises. MECHANISM OF EDUCATION, PROPERTIES (7 PROPERTIES). DIAGNOSTIC VALUE
    The gray noises are the sounds that are called. Instead of heart sounds (C), accompanied by tones C or occur without any connection with tones C. Classification: I. inside the sulfuric: a-organ-it is 1 valve, 2 non-valve; b-functions are 1-intermediate, 2-pure functions, 3-physical ones; II extra-e: a-perekardia-e, b-pleuropericardi-e, c-cardiopulmonary Mech m of internal noise Noises C - these are mechanical oscillations of the engine caused by
  11. About the pulse
    ABOUT
  12. Course project. Examination of the upper respiratory tract, examination and palpation of the chest, 2007
    Content. Introduction 1. Research methods of the upper respiratory tract. 2. Research material. 2.1 characteristics of the examined animals. 2.2 diet and its analysis. 2.3 daily routine and its analysis. 2.4 analysis of animal hygiene. 3. The results of the study. 4. conclusion. 5. list
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