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Assessment of the Neonate with Congenital Heart Disease

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Assessment of the Neonate with Congenital Heart Disease

Transient Ductus Murmur of the Healthy Newborn. Soft systolic murmur, grade 1-2 in intensity, often higher pitched. ... Murmur frequently sounds benign and is often overlooked! Murmur: due to increased flow across pulmonary valve .

http://www.ohsu.edu/xd/health/services/doernbecher/research-education/education/residency/upload/res_lounge_CardiacMurmursforMBU.pptx

Date added: July 9, 2012 - Views: 52

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Innocent Systolic Murmur Chapter 13 - University Health Care ...

Innocent Systolic Murmur Chapter 13 Are G. Talking, MD, FACC Instructor Patricia L. Thomas, MBA, RCIS Outline Characteristics of an Innocent Murmur Characteristics of a Pathological Murmur Where Systolic Murmurs May be Produced Classification Still’s Vibratory Systolic Murmur Physiological ...

http://www.universityhealth.org/documents/CVT%20School/Chapter%2013%20tilk.ppt

Date added: December 14, 2011 - Views: 42

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Respiratory Distress in Newborn - Emory University

Respiratory Distress in Newborn Leena Mane PGY 3 Resident Emory Family Medicine Rhea Mane ... On repeat examination the child is tachypneic, with subcostal retractions. Lung sounds are clear and there is no heart murmur. What Next ? Tests & labs…

http://fpm.emory.edu/family/didactics_for_cascade/powerpint/NewbornRespProbs.ppt

Date added: October 18, 2011 - Views: 64

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Neonatal Nursing Care Neonatal Complications

Cardiac Defects Cardiac Defects Nursing Care of the Newborn with Inborn Errors of Metabolism ... Nursing Assessments Barrel chest and scaphoid abdomen Asymmetric chest expansion Absent breath sounds Displacement of heart sounds ... Symptoms Cyanosis Heart murmur Signs of ...

http://www.epcc.edu/ssin/Maternal_and_Womens_Health/Newborn_Nursing_Care-Part_5.ppt

Date added: June 11, 2012 - Views: 104

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THE PHYSICAL EXAMINATION IN CARDIOLOGY - Uniformed Services ...

... louder with inspiration Murmur: Sounds made by turbulence in the heart or blood stream Can be benign ... Edema (cont.): Locations: Periorbital Scrotal Pre-sacral Hand/foot area Nonpitting pedal/hand edema or lymphedema in a newborn: think Turner’s or Noonan’s syndrome Liver: ...

http://www.usuhs.mil/pediatrics/education/resources/individualclerkshipsites/modules/Cardiac%20Physical%20Exam%20and%20Innocent%20Murmurs%20Presentation.ppt

Date added: October 5, 2011 - Views: 200

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Heart Murmurs and Heartworms - Texas A&M University

A heart murmur is an extra or unusual sound heard during a heartbeat. ... Discuss the differences. What does the PDA murmur sound like? If they do not guess it, tell the students it sounds like a washing machine. ... When the newborn's lungs take over at birth, ...

http://peer.tamu.edu/VBB/Lessons/VBB%20Heart%20Disease%20Heart%20Murmurs%20and%20Heartworms.ppt

Date added: October 10, 2011 - Views: 69

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Heart Murmurs and Heartworms - Texas A&M University

* Courtesy karencast, on Flickr * Discuss with the students what a normal heartbeat sounds like. ... When the newborn's lungs take over at birth, ... What does the PDA murmur sound like?

http://peer.tamu.edu/VBB/Lessons/HD/VetPresentation/HD%20-%20Heart%20Disease.ppt

Date added: October 16, 2011 - Views: 61

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Congenital heart disease and Murmurs - Birmingham City University

Dr David Roden Neonatologist Staffordshire, Shropshire and Black Country Newborn Network * Up to six in every 1000 live born babies have a cardiovascular malformation1 which presents in infancy, but most are asymptomatic at birth.1–4 Auscultation of the heart during routine examination before ...

http://www.bcu.ac.uk/Download/Asset/65bacdf7-55e1-4f01-ba16-186221419127

Date added: December 20, 2013 - Views: 11

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The Pediatric Heart - Dr. Lisa A. Wildcatt

Newborn Murmur. Heard in the first few days of life. Left lower sternal border, without significant radiation. ... Heart Sounds. Normal Heart Sound. Innocent Heart Murmur. Split 2. Venous Hum. VSD. Aquired Heart Disease. Kawasaki Disease. Rheumatic Heart Disease.

http://www.lisawildcatt.com/downloads/The%20Pediatric%20Heart.ppsx

Date added: December 28, 2013 - Views: 12

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Newborn Exam and Gestational Age Assessment

The newborn assessment is different from an adult exam!!! ... PDA murmur sound link: ... Check femoral pulses and compare with brachial pulses. Listen to the lungs. Bilateral breath sounds, crackles, wheezes, or rhonchi. Abdominal Exam. Inspect first. Listen for bowel sounds.

http://old.med.ufl.edu/chfm/fprp/fpmg/Newborn%20Introduction.pptx

Date added: March 10, 2013 - Views: 108

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The Respiratory System and Acute Causes of Distress in the ...

Respiratory Diseases of the Newborn ... vasodilating mechanism CDH/ CCAM * PPHN Respiratory Assessment Tachypnea Retractions Grunting Nasal flaring Breath Sounds Depend on cause Pre and Post-ductal saturations to ... grunting HR 180—with murmur BP 42/30 with MAP 36 SaO2 on 100% blow by ...

http://www.pediatrics.emory.edu/divisions/neonatology/apnec/respiratory%20diseases%20of%20newborn.ppt

Date added: October 11, 2011 - Views: 131

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Neonatal Diseases - Orange Coast College

... Retractions Nasal flaring Expiratory grunting Helps generate autoPEEP Decreased breath sounds with crackles Cyanosis on room ... Ductus Arteriosus) Transient Tachypnea of the Newborn ... possibly some crackles Possible murmur over left sternal border Murmur is loudest when ...

http://occonline.occ.cccd.edu/online/dfarrell/Neonatal%20Diseases.ppt

Date added: October 10, 2011 - Views: 101

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Neonatal Nursing Care: Part2 - El Paso Community College

... Expiratory grunting or sighing Seesaw respirations Tachypnea Cardiac Variations Heart is large Low pitched murmur Decreased strength or absence of femoral pulses ... Newborn Assessments Newborn Measurements ... and soft Bowel sounds present by 1 hour after ...

http://www.epcc.edu/ssin/Maternal_and_Womens_Health/Newborn_Nursing_Care-Part_2.ppt

Date added: February 22, 2013 - Views: 12

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Cardiology Board Review - LSU Health Sciences Center New Orleans

Heart Sounds. S1: AV valve closure. S2: Aortic and pulmonary valve closure (split) A2. ... Systolic murmur best heard above the clavicles, ... Infants are ill in newborn nursery with severe pulm edema, pulm HTN, and cyanosis. Cyanotic CHD.

http://www.medschool.lsuhsc.edu/pediatrics/residents/docs/Cardiology%20Board%20Review%20Final%20for%20real.pptx

Date added: February 3, 2012 - Views: 96

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High Risk Newborn - Southeast Missouri State University

At-Risk Newborn Twila Brown, PhD, RN ... scaphoid abdomen Asymmetric chest expansion Absent breath sounds on effected side Bowel sounds in ... Heart Defects Signs Cyanosis Heart murmur Heart failure Most common defects Patent ductus arteriosus Ventricular septal defect Coarctation of the aorta ...

http://cstl-hhs.semo.edu/orourke/NS281/PowerPoint%20Outlines/High%20Risk%20Newborn%20Conditions%20Present%20at%20Birth.ppt

Date added: January 20, 2013 - Views: 56

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Persistent Pulmonary Hypertension of Newborn

Persistent Pulmonary Hypertension of the Newborn By Jennifer Stevenson ... Later developments Within a few hours after birth tachypnea retractions systolic murmur mixed acidosis, ... Breath sounds and CXR are usually normal.

http://classes.kumc.edu/cahe/respcared/pulmonary/pphn.pps

Date added: September 6, 2011 - Views: 220

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Newborn Assessment and Care (chapter twelve) power points - Quia

Other Newborn Care issues Bulb ... Ongoing assessment of cardio respiratory status that has occurred since birth More thorough heart assessment Murmur may be present ... Passage of meconium Placement and patency of anus Abdomen should be soft and non tender Round but not distended Bowel sounds ...

http://www.quia.com/files/quia/users/valgal59/OB/Newborn-Assessment-and-Care

Date added: October 26, 2011 - Views: 132

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Newborn Exam - Heritage College of Osteopathic Medicine

The Newborn Examination Karen Montgomery-Reagan, D.O. OUCOM ... irregular Murmur Quality, radiation, ... immediate surgical consultation Abdominal Auscultation Normoactive bowel sounds all four quadrants 0 Abdominal Palpation Abdominal Localized Mass Gastrointestinal Duplications, ...

http://www.oucom.ohiou.edu/academicaffairs/preclinical/cce/communityforms/Dr.%20Reagan%20Newborn%20Exam.ppt

Date added: August 26, 2013 - Views: 25

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MAS/PPHN - University of Chicago

The difference in pre- and postductal sats indicates that the newborn has a right-to-left shunt and PPHN ... Breath sounds are coarse and equal. There is no heart murmur.

http://pediatrics.uchicago.edu/chiefs/documents/MAS.ppt

Date added: April 24, 2012 - Views: 75

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High Risk Newborn - Southeast Missouri State University

High Risk Newborn: Part II ... Distress Assessment Tachypnea Retractions Expiratory grunt Nasal flaring Cyanosis Decreased breath sounds Breath sounds ... resistance Unoxygenated blood shunting through ductus arterosa Assessment Respiratory distress and tachycardia Murmur Fluctuating PO2 ...

http://cstl-hhs.semo.edu/orourke/NS281/PowerPoint%20Outlines/High%20Risk%20Newborn%20Part%20II.ppt

Date added: May 9, 2013 - Views: 16

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Slide 1

Associates in Newborn ... of the aorta* Valvular defects * May present as cyanotic or acyanotic Congenital Heart Disease Presenting features Murmur +/ Tachypnea Cyanosis ... tachypnea and mild oxygen need at 14 hrs of life. Exam: equal and clear breath sounds with tachypnea ...

http://newbornmed.com/wp-content/uploads/2010/03/Powerpoint-FINAL_Bergeron_on-neo-template.ppt

Date added: January 1, 2013 - Views: 23

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RESPIRATORY DISTRESS IN NEWBORN - House Officers Workshop ...

breath sounds diminished on side of pneumothorax. ... Meconium aspiration. Serial radiographs in a newborn with uncomplicated meconium aspiration. Radiograph obtained shortly after birth shows ill-defined, ... Heart murmur. DIAGNOSIS.

http://myhow.files.wordpress.com/2012/01/part-3.pptx

Date added: March 22, 2012 - Views: 71

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Shock in the Newborn - El Paso Campus

TREATMENT Once shock is suspected in a newborn, appropriate supportive ... and a heart murmur suggestive of tricuspid regurgitation. Inotropic ... refill time, tachycardia, mottling of the skin, cool extremities, and decreased urine output. Give attention to heart sounds, peripheral ...

http://elpaso.ttuhsc.edu/fostersom/pediatrics/neonatology/documents/lectures/shockinthenewborn.ppt

Date added: April 18, 2014 - Views: 9

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Patent Ductus Arteriosus - Philadelphia College of ...

To listen to heart sounds that determine healthy heart function, a physician ... from the right atrium to the left atrium and then to the lungs for the exchange of oxygen and carbon dioxide and the newborn begins to ... A patient with an open or patent foramen ovale will have a heart murmur.

http://www.pcom.edu/targeted/fr/1815.ppt

Date added: March 25, 2012 - Views: 20

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Slide 1

Newborn Heart Exam Examine within the first ... CLINICAL NOTE Coarctation of the Aorta Difference in pulse amplitude between femoral and radial pulses Infant Heart Sounds www.wilkes.med.ucla ... Systolic Unaccompanied by other signs and symptoms CLINICAL NOTE A murmur is usually ...

http://w3.palmer.edu/oneill/OBPEDS/PPT%20FW%2006/Heart%20(C%20FW06).ppt

Date added: October 12, 2011 - Views: 88

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Assessment of the well newborn

Routine newborn examination Dr Minju ... Maturity / assessment of gestational age Systematic physical examination Systematic examination Cardiovascular Heart sounds ... -53 Heart murmurs & the routine newborn examination Structural CHD present in around 50% of infants presenting with a murmur on ...

http://cmft.nhs.uk/undergrad/students/documents/Routinenewbornexamination-DrMinjuKuruvilla.ppt

Date added: May 25, 2014 - Views: 2

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Newborn Care and Assessment - Mrs. Kim Martin

The newborn is now several hours old and has successfully transitioned to extra-uterine life. Newborn Assessment. Begins ... Breath sounds present and clear in all lobes. Abnormal. Tachypnea after ... = systolic murmur, active precordium, bounding peripheral pulses. Medical Management. ...

http://ksmartin.weebly.com/uploads/6/7/8/6/6786788/newborn_care_and_assessment.pptx

Date added: August 9, 2013 - Views: 17

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The Bronchial Breath Sound - دانشگاه علوم ...

... Auscultation: Heart rate Newborn=70-120 Preschool child ... inflammed and roughened The sound that a pleural friction rub makes is a leather-on-leather type of sound These sounds can be heard at ... the aortic valve closes first in S2. The intensity of the murmur is next ...

http://www.ssu.ac.ir/fileadmin/templates/fa/daneshkadaha/daneshkadah_pezeshki/goroha/zanan_zayeman/upload_zanan/powerpoint/physical3_01.ppt

Date added: May 25, 2013 - Views: 3

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PowerPoint Presentation

... CR <2 seconds Abdomen: soft, active bowel sounds Skin: warm, dry What is the likely cause of this infants respiratory distress? ... Murmur: systolic at LUSB/Left Infraclavicular, may progress to continuous (machinery) Cardiac: Active Precordium, Widened Pulse Pressure, Bounding Pulses ...

http://pediatrics.uchicago.edu/chiefs/documents/PDA.ppt

Date added: May 14, 2012 - Views: 36

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Sickle Cell Disease - Wayne State University School of Medicine

... of breath sounds Approach Physical ... Cardiac: murmur Respiratory: assymetry of breath sounds Approach Physical examination Abdomen: assess for spleen, Murphy’s sign GU: priapism Extremities: edema, infllammation Approach Work-up Newborn screen CBC ...

http://www.med.wayne.edu/elab/impeds/content/boardreview/medped/hematology/Sickle%20Cell%20Disease.ppt

Date added: August 23, 2011 - Views: 55

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Cardiac - Azusa Pacific University

... Chest pain Decreased activity level Syncope Slight of build Heart Sounds Heart Sounds ... Diagnosis Heart murmur or AS is a ... prophylaxis especially if valve replacement Hypoplastic Left Heart One of the most complex defects seen in the newborn and the most challenging of ...

http://home.apu.edu/%7Ejchandler/Power%20point/Cardiac_06.ppt

Date added: September 23, 2011 - Views: 40

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Assessment Of Risk In The Term Newborn, 2nd - March of Dimes

in the Term Newborn, 2nd Edition Carole Kenner, DNS, RNC, ... Nurses should evaluate and monitor any murmur or cyanosis in the neonate because they are signs of ... murmurs and character of sounds Femoral pulses in comparison with pulses in the upper extremities Abdomen The nurse ...

http://www.marchofdimes.com/nursing/modnemedia/othermedia/slides/Risk_Assess_2.ppt

Date added: October 29, 2011 - Views: 115

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Congenital heart defects - Peer-Assisted Learning Initiative

Learning Objectives Understand basic cardiac physiology in the newborn To describe common congenital heart defects Recognise the clinical features of ... murmur will be quieter ... Asymptomatic No thrills/heaves Soft systolic Varies with position Localised Normal heart sounds ...

http://www.peerassisted.org/files/documents/TYP/Congenital-Heart-Defects.ppt

Date added: June 6, 2014 - Views: 1

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Pediatric Physical Exam - Palmer College of Chiropractic ...

Age Descriptors Newborn birth to 2 months Infant 0-1 year Toddler 1-2 years Child 2+ years ... Infant Localization of breath sounds is difficult Breath sounds are easily ... Parasternal heave Precordial prominence Systolic ejection murmur heard over the 3rd intercostal space ...

http://w3.palmer.edu/oneill/OBPEDS/PPT%20FW%2007/Pediatric%20Physical%20Exam%20(C%20SU07).ppt

Date added: August 27, 2011 - Views: 220

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Cardiac - Pediatric Nursing

Diagnosis Heart murmur or AS ... prophylaxis especially if valve replacement Hypoplastic Left Heart One of the most complex defects seen in the newborn and the ... system Face, nose, and oral cavity Thorax and lung Cardiovascular system Heart Sounds Heart Murmurs These sounds are ...

http://pedstudent.com/wp-content/uploads/2011/08/cardiac_10.ppt

Date added: December 28, 2013 - Views: 26

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Mechanical Ventilation in Neonates - anaesthesia.co.in

... Normal Newborn Jaw Tongue Newborn with Robin Syndrome Abnormally small Jaw Tongue airway at posterior pharynx Robin Syndrome Prone positioning and a nasopharyngeal tube are often effective Impaired Lung Function Pneumothorax Breath sounds diminished ... tone Murmur of TR ...

http://anaesthesia.co.in/wp-content/uploads/2012/05/Special-Consideration.ppt

Date added: May 28, 2013 - Views: 5

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Introductory Peds - University of North Carolina at Chapel Hill

Breath sounds show coarse expiratory wheezes. He is well perfused with brisk CRT. RRR without murmur. Abd ... and record vital signs and ins and outs Talk with family Examine the patient Pediatric Vital Signs Normal Heart Rate Newborn 93-154 1-2 mo 121-179 1-2 yo 89-151 5-7 yo 65-133 ...

http://www.med.unc.edu/pedclerk/resources/Introductory%20Peds%202007-8.ppt/at_download/file

Date added: January 31, 2012 - Views: 19

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PowerPoint Presentation

The Normal Newborn ADAPTATIONS ... Passage of meconium Placement and patency of anus Abdomen should be soft and non tender Round but not distended Bowel sounds are ... Ongoing assessment of cardio respiratory status that has occurred since birth More thorough heart assessment Murmur may be ...

http://www.quia.com/files/quia/users/valgal59/RN-Newborn-Care

Date added: August 3, 2013 - Views: 5

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Module 5 Cardiac - Yola

High-pitched sounds are best heard with the diaphragm of the stethoscope, while low-pitched sounds are best heard with the lightly applied bell of the * A heart murmur is a ... the vascular channel between the pulmonary artery and the aorta Newborn must adapt to receiving oxygen from the ...

http://pediatrics.yolasite.com/resources/Module%205%20Cardiac.ppt

Date added: December 3, 2011 - Views: 16

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CARDIOVASCULAR SYSTEM

... during atrial systole Not normal in adults Murmur ... tone Heart Rate at Rest Age Group Beats per Minute Newborn 140 Young Child 100-120 Adult 60-100 Mechanism of change ... Starling Law of the heart Cardiac cycle Cardiac cycle Cardiac cycle Heart sounds Heart sounds Murmur ...

http://xa.yimg.com/kq/groups/26464643/1665024331/name/CVS+UPEC.ppt

Date added: June 28, 2013 - Views: 9

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Slide 1

Heart sounds First heart sound is ... (valve is not normally touched in newborn ... R L shunt through ASD or PFO Increased pulmonary vascular resistance in the neonatal period compounds this problem Murmur CXR EKG Physical exam Heart sounds First heart sound widely split with loud ...

http://cincyneo.wikispaces.com/file/view/Ebsteins_Merhar.ppt

Date added: November 12, 2011 - Views: 14

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Case follow up - PEM-Database

... Hypoglycemia Acidosis Hyperammonemia Hyperammonemia Urea cycle defects Organic acidemia Transient hyperammonemia of the newborn Urea Cycle Defects Early ... Cyanosis Tachypnea Murmur may be absent “Egg on a stick appearance ... Scant bowel sounds Guaic negative ...

http://www.pemdatabase.org/files/septic_appearing_infant.ppt

Date added: August 29, 2011 - Views: 39

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Chapter 19

... absence of a murmur in immediate newborn period does not ensure a perfect heart Congenital defects can be present that are not signaled by an early murmur Best to ... and shivering interferes with heart sounds Take scrupulous care to ensure quiet; heart sounds are very soft, and any ...

http://mydsn.net/docs-tools/NRS103/Dobi/Chapter_019.ppt

Date added: May 31, 2014 - Views: 2

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… Read Document - Caangay Family Site

Apgar score of a newborn delivered limp, cyanotic all over, apneic with ... or other thoracic problem CARDIOVASCULAR SYSTEM Note rhythm of heart rate Check presence of murmur. If present ... Palpate for any abnormal masses ABDOMEN Auscultate for bowel sounds Examine ...

http://caangay.com/2ndyearfatima/documents/Pediatrics/NBEXAM.PPT

Date added: July 27, 2013 - Views: 9

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Physical Assessment - Pediatric Nursing

... heart sounds in all locations, ... Inspect labia and clitoris (edematous in the newborn), patent vagina Males: Inspect position of urethral meatus (do not retract foreskin), strength of urine stream if possible, ... if you detect a murmur, ...

http://www.pedstudent.com/wp-content/uploads/2010/09/physical_asses_peds.ppt

Date added: September 15, 2011 - Views: 13

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Tips for doing well on Pediatric Boards - American Academy of ...

Hemorrhagic Disease of Newborn ... Physical examination demonstrates equal mechanical breath sounds, no heart murmur, hypotonia, a bulging anterior fontanelle, and lethargy. Laboratory evaluation reveals anemia, metabolic acidemia, and hyperglycemia.

http://nysaap.org/blog/Neonatology.ppt

Date added: November 28, 2013 - Views: 11

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Pediatric Cardiac Emergencies - Calgary Emergency Medicine

... clear, mild-moderate WOB S1 S2 (? Single) IV/VI systolic murmur Pulses good, liver 2cm BCM Font flat, soft ... Complex CHD is often picked up prior to D/C from the nursery with cyanosis or abnormal heart sounds ... .Timing and symptoms relate to physiologic changes of newborn and ...

http://calgaryem.com/files/pediatriccardiacemergencies2004.ppt

Date added: May 2, 2013 - Views: 46

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POSTNATAL CHECK - pennine-gp-training.co.uk

NEWBORN & 6 WEEK CHECK Kavitha Kanakanti Lydia Scott CHEST/ARMS LUNGS – resp rate, breath sounds HEART – heart rate, murmurs ARMS – inspect, brachial pulses HANDS – palms, count fingers Asymptomatic heart murmur Ensure asymptomatic & feeding well Check femoral pulses & pulse oximetry ...

http://www.pennine-gp-training.co.uk/Newborn-6_week_check-HDR-2010.ppt

Date added: October 11, 2011 - Views: 21

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PowerPoint Presentation

... Uses artificial frequency of about 100 Hz in heart sound amplifier Employed to oscillate stylus so that high frequency sounds are modulated by 100Hz ... interpretation of systolic murmur was ... developmental abnormalities in newborn infants who are frequently ...

http://iambiomed.com/down.php?id=300

Date added: May 24, 2014 - Views: 3

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Slide 1

The second heart sounds is single.(A2) A pansystolic murmur may be audible at the left lower sternal border ... Tricuspid valve diameter less than 8 mm in a newborn infant. Tricuspid to mitral valve diameter ratio less than 0.7. Tricuspid valve diameter Z-scores of –3 or smaller.

http://cardiologycmc.in/PPT/pa%20ivs%20final.pptx

Date added: May 14, 2013 - Views: 3