Fig. 16.1 Echocardiogram. Echocardiogram (apical 4 chamber view) shows an enlarged right ventricle with significant tricuspid regurgitation Fig. 16.2 Electrocardiogram. Electrocardiography shows a right bundle branch block with a right…
Fig. 10.1 This figure illustrates auscultation findings of a flail mitral leaflet with its hallmarks of an intense murmur, a palpable thrill, a soft S1 reflecting high intracardiac pressure, and…
Fig. 14.1 Typical auscultation features of pulmonic regurgitation including a soft systolic, and decrescendo diastolic murmur which varies with respiration Fig. 14.2 Diastolic murmur in the left lower sternal area…
Fig. 7.1 A diagrammatic representation of the AR murmur An early ejection sound is present along with an early diastolic murmur. Normal S2. Grade 2/4, low pitch murmur at the…
Fig. 1.1 Areas of the hand used to palpate localized pulsations, thrills, and heaves or lifts. The patient should be palpated in the supine position and the fingertips used to…
Fig. 3.1 Acoustic stethoscope The chest piece. The bell is used for low frequency sounds. The diaphragm is used for high frequency sounds. Some chest pieces act as both the…
Fig. 2.1 Normal splitting of S2 during inspiration. P2 sounds later during inspiration due to increased venous return and blood flow through the pulmonic valve (Used with permission of Texas…
Fig. 23.1 Still’s murmurs are generally Grade 1–3 early systolic murmurs heard best by placing the bell of the stethoscope between the lower left sternal border and the apex of…
Fig. 22.1 Pulmonary capillary wedge pressure (PCWP) measurements are reported in relation to the clinical presence (+) or absence (−) of jugular venous distension (JVD) and the presence of a…
Fig. 12.1 Graphical representation of auscultation findings in a patient with the Austin Flint murmur Test Results Color M-mode and 2-D echo (Fig. 12.2a–d). Fig. 12.2 (a–d) Echocardiograms. (a) An…
