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.
What is Biochemical Composition As life evolved on this planet, nature selected only a few elements, and life eventually came to be based essentially on carbon compounds. Out o
What are ions? What are the two types of molecules into which ions are classified? Ions are atoms or substances electrically charged by means of loss or gain of electrons.
Why did it take 150 years for the cell theory to be developed after microscopes were invented? Information about cells could not be understood and organized into a central theo
Determination of vitamin B 12 Spectrophotometric determination of the characteristic ultraviolet absorption is suitable for the determination of pure vitamin B 12 or of pure
Long-term Follow-up Results : To evaluate the long-term results of surgery, one has to take into consideration the natural history, results of medical treatment and that of PTCA.
Photosynthetic function Structural organisation of the leaf is suitable to perform the process of photosynthesis. Hence leaf is called as a food factory. The leaf has a l
What is cell cycle? Cell cycle, or mitotic cycle, is the time period that starts when the cell is formed and finishes when it is divided by mitosis making two daughter cells. T
Q. Bracketed Keys to identifying plants and animals? In bracketed keys two couplet leads of the same rank are bracketed together. The alternative clues or couplets are written
Specific Causes of Parental Anxiety Some of the factors that increase their anxiety include following: 1) Fear of the strange environment in the hospital 2) Fear
Pituitary The pituitary is also known as hypophysis. It is composed of two embryologically distinct tissue. The anterior pituitary or adenohypophysis is derived from the roof
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