Term
| the anterior surface of the heart is mostly |
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Definition
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Term
| ductus arteriorsus connects |
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Definition
| left pulmonary artery to arch of aorta |
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Term
| left recurrent laryngeal nerve pathway |
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Definition
| hooks around the ligamentum arteriosum to run posterior to the aorta to supply the larynx |
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Term
| artery in atrial ventricular groove |
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Definition
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Term
| the pericardial sinus separates |
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Definition
| the outflow tracks of the heart from the inflow tracks |
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Term
| there is a close relationship between the left atrium and... |
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Definition
| the esophagus, useful for performing a transesophageal echocardiogram |
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Term
| the right border of the heart is formed by |
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Definition
| the right atrium (embraced by the right lung) |
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Term
| the left border of the heart is formed by |
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Definition
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Term
| the part of the heart that sits on the diaphragm |
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Definition
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Term
| coronary circulation off aorta |
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Definition
right coronary and left coronary branch off aorta just distal to aortic valves. Right coronary -> atrioventricular grooves btween RA and LA-> posterior diaphragmatic surface of heart -> interventricular groove
left coronary artery circumflex branch -> follows atrioventricular groove to posterior surface of heart
left coronary artery anterior interventricular artery (LAD)(MIs) -> LV |
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Term
| venous drain of the heart |
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Definition
| coronary sinus is the main drainage running in atrioventricular groove from left to right -> right atrium (which rec's systemic blood both from superior and inferior vena cava and rec's cardiac blood from coronary veins that drain thru coronary sinus into right atrium) |
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Term
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Definition
| right atrium (sinus node). follow crista terminalis superiorly to it's termination at the superior vena cava to find SA node (cardiac pacemaker) |
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Term
| flow of blood through heart |
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Definition
| superior vena cava -> RA -> RV -> Pulmonary Trunk -> Right Lung -> LA -> LV -> aorta |
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Term
| junction between smooth and rough part of right atrium |
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Definition
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Term
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Definition
| shunts blood in the fetus from RA to LA (fossa ovalis is the adult remnant) |
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Term
| SA node and AV node picture location |
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Definition
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Term
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Definition
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Term
| which ventricle wall is thicker |
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Definition
| left (because it has to overcome systemic pressure) |
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Term
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Definition
| between LA and LV. have papillary muscles and chordae tendineae |
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Term
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Definition
| between RA and RV. have papillary muscles and chordae tendineae |
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Term
| smooth outflow of the right ventricle |
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Definition
| infundibulum (smoothness is due to venous incorporation during fetal development) |
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Term
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Definition
| in atrioventricular groove, carries venous outflow of the heart into the right atrium |
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Term
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Definition
| at the triangle of Koch, bounded by the tendon of Todero, the septal cusp of the tricuspid valve and the coronary sinus |
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Term
| purpose of the papillary muscles through the cordae tendineae |
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Definition
| serve to keep the valve closed when the heart contracts |
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Term
| valve connecting right ventricle to pulmonary outflow |
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Definition
| pulmonary valve/pulminary semilunar vavle |
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Term
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Definition
| atrioventricular valves are open, ventricles are filling, and pulmonary and aortic valves are closed |
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Term
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Definition
| the ventricles are contracting so the aortic and pulmonary valves are open and the atrioventricular valves are closed |
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Term
| where can the heart be palpated |
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Definition
| 5th intercostal space at mid-clavicular line, the PMI or point of maximal impulse |
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Term
| where to listen to the aortic valve |
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Definition
| 2nd intercostal space on right |
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Term
| where to listen to pulmonary valve |
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Definition
| 2nd intercostal space on left |
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Term
| where to listen to mitral/bicuspid valve |
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Definition
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Term
| where to listen to the tricuspid valve |
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Definition
| just to the left of the xiphisternal junction |
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Term
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Definition
| feels like a cat purring under the skin, associated with a murmer |
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Term
| listening for what when ascultating the heart |
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Definition
| the valves closing S1, S2 is lub, dub. S1 is systole when blood is pumping out of the heart so the aortic and pulmonary valves are open, so what you hear on S1 is the closure of the tricuspid and mitral valves or AV valves so you will hear this sound louder at those valves. The aortic and pulmonic valves close during diastole when the heart is resting. S2 will be louder at aortic/pulmonary valve (closing during diastole), go to Erb's point- 3rd intercostal space on left sternal border as palate clenser S1=S2, S1 louder than S2 at tricuspid/mitral |
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Term
| 2 positions you must listen in before you confirm there is not murmer |
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Definition
| have pt lean forward to listen to aortic and pulmonic, to listen for tricuspid or mitral murmur put pt in left lateral position (the mitral region is where you can hear gallops) |
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Term
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Definition
| intercostal spaces taht are sucking in when inhaling and belowing out when exhaling |
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Term
| anterior to posterior size of chest should be |
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Definition
| 1/2 of lateral, if it becomes 1:1 that is barrel chesting |
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Term
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Definition
| when the sternum wings up at you |
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Term
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Definition
| where the sternum wings down (may be a problem w being able to take a breath in and out) |
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Term
| if there is pain on ribs upon palpation means |
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Definition
| inflammation of costal cartiladge |
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Term
| when you breathe in the diaphragm should move.. |
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Definition
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Term
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Definition
| T10, two finger widths above waist |
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Term
| to listen to the pt's right middle lobe |
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Definition
| have pt lift arm and listen just anterior to midaxillary line |
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Term
| costodiaphragmatic recess |
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Definition
| where the diaphragmatic pleura blends to become costal pleura |
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Term
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Definition
| where the heart and the diaphragm meet |
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Term
| knobs along left heart border from superior to inferior |
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Definition
| aortic knob, pulmonary trunk, LA, LV |
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Term
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Definition
| bright on MRI, grey on x-ray |
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Term
| defect that can lead to a stroke in an individual with progressive heart failure |
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Definition
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Term
| ordinary flow through an atrial septal defect |
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Definition
| left to right bc rt heart pressure is lower than left heart pressure, not a big deal if small but if larger can cause hypertrophy to the rt heart over time and then can cause reverse flow from rt to left, then the rt heart won't be delivering enough blood to the lungs and over time can develop rt atrial fibrillation and then formation of a blood clot |
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