心脏体格检查视诊英文.pptxVIP

心脏体格检查视诊英文第1页/共35页 2Physical Examinationof Cardiovascular SystemFOR MBBS STUDENTSMa Guotian,M.D.Professor of CardiologyDepartment of DiagnosticsThe First Affiliated Hospital of Guangxi Medical University第2页/共35页 3General ConsiderationDuring lifetime, the heart contracts more than 4 billion times.Pumping 200 million L blood to systemic circulation.Cardiac output varies under physiologic conditions from 3 to 30L/min. Heart rate varies from 60 to 150 beats/min. 第3页/共35页 4Physical Examination of Cardiovascular system In the present era of technological advances, particularly in the various imaging modalities, physical examination of the heart still provides useful information. 第4页/共35页 5Physical Examination of Cardiovascular system It is simple, convenient, cheap as premier assessment of the severity and an etiology of the lesions and also serves as an clue to use advanced techniques for the diagnosis of CVD.第5页/共35页 6 Review the Anatomy第6页/共35页 7Routine and Techniques of PE of the HeartPatient’s exposure and position (sitting or lying down) , with enough light and appropriate temperatureFour parts: inspection, palpation, percussion, and auscultation 第7页/共35页 8Part one Inspection 第8页/共35页 9Inspection Precordium is the region of the anterior surface of the body covering the heart and lower thorax. 第9页/共35页 10Contents of InspectionThoracic cage deformityApical impulse Abnormal pulsations in precordium第10页/共35页 11Methods of InspectionInspect the obverse side.Then obverse the patient’s lateral surface 第11页/共35页 12Thoracic Cage Deformity（ inspection） Asymmetry of the thoracic cage due to a convex bulging of the precordium suggests the presence of heart disease since childhood第12页/共35页 13Thoracic Cage Deformity（ inspection） such as congenital heart disease and rheumatic heart disease, with skeletal molding to accommodate cardiac enlargement.第13页/共35页 14Apical Impulse （ inspection）Apical impulse mainly results from the