Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Q. Clinical Features of tricuspid regurgitation?
Patients with severe primary tricuspid regurgitation will have symptoms of fatigue, dyspnoea and effort intolerance, abdominal fullness and distension. In the absence of left heart diseases leading to tricuspid regurgitation, orthopnoea and PND do not occur. Physical examination will show elevated mean jugular venous pressure with prominent ‘v' waves and sharp v-y collapse in the absence of tricuspid stenosis. Pulsatile hepatomegaly is often noted. Pan systolic murmur of tricuspid regurgitation is heard at lower left sternal border and it typically increases with inspiration due to increased venous return. In about 20 per cent of patients the murmur may not be audible. Lateral head bobbing is sometimes obvious at bedside. This is in contrast to vertical head bobbing that may be seen in aortic regurgitation. The height of ‘v' waves depends upon the compliance and size of right atrium and may not exactly reflect severity of regurgitation. Systolic murmurs of low pressure TR tend to be early systolic in contrast to those of high pressure TR. This is because in the former, right atrial and right ventricular systolic pressure tend to equalize in early systole and regurgitation stops by mid systole. Intensity of murmur does not correlate with severity of regurgitation. Musical murmurs of TR may produce loud murmurs. In inspiration TR murmur typically increase due to increased venous return and this is called Carvello's sign. This may not be seen in patients with right heart failure since failing right ventricle's output cannot be increased further with inspiration.
This technique utilizes an enzyme resolvase, endo vii, cloned from the bacteriophage t4. This enzyme has high specificity to find deletions, insertions, and base substitutions muta
Sinus tachycardia is common. ECG abnormalities may reflect the underlying coronary artery disease by way of pathological Q-waves, ST-T wave abnormalities. Left ventricular hypertro
Define Procedure for Testing the Presence of Sugar in Milk? 1. Take 0.1 ml of milk sample in a test tube. 2. Add 0.2 ml of resorcinol solution (0.05 gm of resorcinol in 100
nucleolus is formed by
Chloroplasts is the disk-like organelles with the double membrane found in eukaryotic plant cells; contain thylakoids and are the site of the photosynthesis. ATP is produced durin
OBJECTIVES : After reading surgery, you will be able to: 1 understand the fundamental of closed and open heart surgery and recent developments in off pump surgery; 2 in
Why Meat and Poultry are important for human body? Meat and poultry are rich sources of proteins of high biological value. They do not contain carbohydrates. All
Using a Tissue Punch The implant heads are located and using a suitable sized tissue punch(depending on the implant diameter), the tissue punch is used and takes a circular pie
Q. Show the pH range of natural honey? The pH of natural honey ranges from 3.4 to 6.1. Acidity of honey is primarily due to presence of acids such as gluconic acid, pyruvic a
What are the different patterns of cleavage (segmentation of fertilized egg cell)?
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd