🤯 Вижити в Меді 👨‍⚕️💉 | United States America (US)

Create: 2023-05-15 Update: 2025-07-03 21:19:00

🔴ВАДИ СЕРЦЯ 🔴
🩺АУСКУЛЬТАТИВНА КАРТИНА🩺

🫀МІТРАЛЬНИЙ СТЕНОЗ
◾️Шуми серця:
➖Тихий пресистолічний, при фібриляції передсердь - протодіастолічний на верхівці.
➖Вздовж лівого краю грудини протодіастолічний шум
відносної недостатності клапана легеневої артерії (шум Грехема-Стілла).

🫀МІТРАЛЬНА НЕДОСТАТНІСТЬ
◾️Шуми серця:
➖Інтенсивний і тривалий голосистолічний шум, з епіцентром на верхівці, що зливається з І тоном і проводиться у пахвову западину. Але при вираженій гострій мітральній недостатності шум не голосний, що варто враховувати.

🫀АОРТАЛЬНИЙ СТЕНОЗ
◾️Шуми серця:
➖Грубий систолічний шум («крещендо»-«декрещендо») з епіцентром над аортою, прово-
диться у fossa jugularis, на сонні артерії. 3 розвитком СН інтенсивність шуму зменшується;
➖Після розвитку дилатації ЛШ і СН - систолічний шум відносної мітральної недостатності.

🫀АОРТАЛЬНА НЕДОСТАТНІСТЬ
◾️Шуми серця:
➖Протодиастолічний шум «декрещендо» з епіцентром у третьому-четвертому м/р по лівому краю грудини (проводиться на верхівку);
➖Короткий пресистолічний шум Флінта (шум відносного стенозу мітрального клапана);
➖Пансистолічний шум відносної мітральної недостатності;
➖Систоло-діастолічний шум Дюроз‘є при легкому стисканні стегнової артерії стетоскопом.

📚 @smart_lib
🦷 @dentist_s_way
✅ @meduniversityhelp

🤯 Вижити в Меді 👨‍⚕️💉

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3.5K viewsAlexey Chobotko, May 15, 2023 at 17:11

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🤯 Вижити в Меді 👨‍⚕️💉

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