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Where the apex of the heart touches the anterior chest wall at approximately the fourth to fifth intercostal space just medial to the left midclavicular line
blowing sound created by the narrowing of the lumen of a blood vessel, the narrowing creates turbulence causing a blowing or swishing sound
used to determine how quickly blood returns to the capillaries in the nailbeds after they have been blanched;
bulging of the tissues at the and nail base due to insufficient oxygenation at the periphery resulting from conditions such as chronic emphysema and congenital heart disease
bluish discoloration of the skin or mucous membranes due to tissues near the skin surface being low in oxygen
Absent sounds upon auscultation of bowel sounds indicating a lack of peristalsis possibly due to late stage bowel obstruction or peritonitis.
pinpoint sized red or purple spots on the skin caused by small hemorrhages in the skin layers; they do not blanch, but may indicate serious blood-clotting disorders, drug reactions, or liver disease.
an inflammation of a vein that occurs commonly after trauma to the vessel wall, infection, immobilization, and prolonged insertion of IV catheters;
when the radial pulse is slower than the apical pulse because ineffective contractions fail to send pulse waves to the periphery;
Partial or complete loss of consciousness with interruption of awareness of oneself and ones surroundings; circulatory arrest ex: due to heart rate or blood pressure
a continuous palpable sensation like the purring of a cat heard in heart murmurs; record intensity in the following grades:
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