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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, ... Murmur frequently sounds benign and is often overlooked! ... Assessment of the Neonate with Congenital Heart Disease

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

Date added: July 9, 2012 - Views: 54

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Innocent Systolic Murmur Chapter 13 - University Hospital

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: 44

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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: 65

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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: 105

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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: 203

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Heart Murmurs and Heartworms - Texas A&M University

Heartworms and Heart Murmurs An introduction to problems that can occur in the heart Partnership for Environmental Education and Rural Health Texas A&M University

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

Date added: October 10, 2011 - Views: 72

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Heart Murmurs and Heartworms - Texas A&M University

When the newborn's lungs take ... What does the PDA murmur sound like? If they do not guess it, tell the students it sounds like a ... Poor weight gain Audio of a normal heart Audio of a PDA murmur Time Out Listen to your own heart Management Options for PDA Observation and ...

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

Date added: October 16, 2011 - Views: 65

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Congenital heart disease and Murmurs - Birmingham City University

Staffordshire, Shropshire and Black Country Newborn Network ... Ausculation Heart sounds 1 and 2 Murmurs Systolic or diastolic? Loud or soft? ... However 50% of babies with congenital heart disease have no murmur on examination.

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

Date added: December 20, 2013 - Views: 12

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The Pediatric Heart - Dr. Lisa A. Wildcatt

Congenital Heart Disease. Symptoms in Adults. Shortness of breath. Limited ability to exercise. Symptoms in Children. Can be detected prenatally. Usually detected by the presence of a heart murmur, but not all CHD has a murmur, and not all murmurs are pathological!!!

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

Date added: December 28, 2013 - Views: 14

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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: 110

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

RR 80s—Retracting, nasal flaring, grunting HR 180—with murmur BP 42/30 with MAP 36 SaO2 ... Retracting Apnea/ irregular respiratory pattern Decreased breath sounds/ wet/ rhonchi * MAS Clinical Assessment Color Pale/gray ... Distress in the Newborn Respiratory Causes Congenital ...

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

Date added: October 11, 2011 - Views: 136

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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: 15

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Cardiac

Cardiac Elisa A. Mancuso RNC, MS, FNS Professor of Nursing

http://www2.sunysuffolk.edu/mancuse/nursing/NUR%20246%20Spring%2011/Spring%202011/Cardiac%20copy%20Jan%2011.ppt

Date added: March 23, 2013 - Views: 24

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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: 108

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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: 102

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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: 60

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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: 223

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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: 136

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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: 26

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Slide 1

Associates in Newborn Medicine, PA, St. Paul ... of the aorta* Valvular defects * May present as cyanotic or acyanotic Congenital Heart Disease Presenting features Murmur +/ Tachypnea Cyanosis ... Objective Data Physical exam findings: Breath sounds Stridor Severity Laboratory data: CBC w ...

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

Date added: January 1, 2013 - Views: 24

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MAS/PPHN - University of Chicago

Breath sounds are coarse and equal. There is no heart murmur. ... assisted ventilation, chest compressions, and IV epinephrine. Apgar scores are 1, 3, and 5. You transfer the newborn to the NICU, where he appears cyanotic, in respiratory distress, ...

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

Date added: April 24, 2012 - Views: 83

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High Risk Newborn - Southeast Missouri State University

High Risk Newborn: Part II ... Respiratory Distress Assessment Tachypnea Retractions Expiratory grunt Nasal flaring Cyanosis Decreased 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: 20

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RESPIRATORY DISTRESS IN NEWBORN - House Officers Workshop ...

RESPIRATORY DISTRESS IN NEWBORN PART 3. KIRANJIT KAUR. ... breath sounds diminished on side of pneumothorax. ... Heart murmur. DIAGNOSIS. Chest X-rays may be recommended and can determine if the baby has lung disease or an enlarged heart.

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

Date added: March 22, 2012 - Views: 74

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Shock in the Newborn - El Paso Campus

... hepatomegaly, cardiomegaly, and a heart murmur suggestive of tricuspid ... The most common form of maldistributive shock in the newborn is septic shock, and ... the skin, cool extremities, and decreased urine output. Give attention to heart sounds, peripheral pulses, and breath sounds.

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

Date added: April 18, 2014 - Views: 12

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Patent Ductus Arteriosus - Philadelphia College of ...

The ductus arteriosus is a vascular connection found directly between the pulmonary artery ... When a physician listens with a stethoscope, the ventricle filling with blood sounds like a “lub”. When the ... 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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Assessment of the well newborn - Central Manchester ...

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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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: 91

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Newborn Care and Assessment - Mrs. Kim Martin

Newborn Care and Assessment. Kim Martin RN, MSN . Nursing Instructor. ... this and work our way through pediatrics. Mrs. Leib covered OB information with you. She covered all information about baby before birth, ... Breath sounds present and clear in all lobes. Abnormal. Tachypnea after 1st hour.

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

Date added: August 9, 2013 - Views: 21

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The Bronchial Breath Sound - s, su

... 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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Sickle Cell Disease - Wayne State University School of Medicine

Sickle Cell Disease Paolo ... maxillary hyperplasia 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, reticulocytes ...

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

Date added: August 23, 2011 - Views: 58

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QOD Development - Rutgers University

On physical examination, the murmur sounds particularly prominent. ... Most patients who have TOF do not present with cyanosis in the newborn period, but rather come to medical attention because of a harsh systolic murmur. The murmur results from infundibular stenosis and pulmonary stenosis, ...

http://gpph.rutgers.edu/departments_institutes/pedspweb/residency/documents/QODCardiology.ppt

Date added: August 8, 2014 - Views: 1

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PowerPoint Presentation

Fetal Circulation PDA: R L ... (up 80 grams from 1 day prior) HEENT: unremarkable Pulm: tachypneic, decreased lung sounds at bases, crackles heard ... Respiratory Distress Syndrome PDA Sepsis NEC What Physical Exam findings are consistent with PDA? Murmur: systolic at LUSB ...

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

Date added: May 14, 2012 - Views: 36

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Cardiac - Azusa Pacific University

Cardiac Lecture Jan Bazner-Chandler ... Chest pain Decreased activity level Syncope Slight of build Heart Sounds Heart Sounds Use both the ... prophylaxis especially if valve replacement Hypoplastic Left Heart One of the most complex defects seen in the newborn and the most challenging of all ...

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

Date added: September 23, 2011 - Views: 48

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

Nurses should evaluate and monitor any murmur or cyanosis in the neonate because they are ... murmurs and character of sounds Femoral pulses in comparison with pulses in the upper extremities ... Newborn Screening and Genetic Testing The March of Dimes (2006) recommends newborn screening for 29 ...

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

Date added: October 29, 2011 - Views: 122

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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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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: 227

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Cardiac - Pediatric Nursing

Cardiac Lecture Jan Bazner-Chandler ... prophylaxis especially if valve replacement Hypoplastic Left Heart One of the most complex defects seen in the newborn and the most challenging of all the ... 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: 30

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Congenital heart defects - Peer-Assisted Learning Initiative

Congenital Heart Defects ... Learning Objectives Understand basic cardiac physiology in the newborn To describe common congenital heart defects Recognise the clinical features of congenital heart ... Thrill Loud pansystolic murmur at the lower left sternal edge, accentuated 2nd ...

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

Date added: June 6, 2014 - Views: 1

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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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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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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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Case follow up - PEM Database

The septic appearing infant ... from LV Ductus closure minimal mixing of the systemic & pulmonary blood via foramen ovale Hypoxemia Cyanosis Tachypnea Murmur ... girl- fever & vomiting Sleepy but arousable Lethargic Intermittent cry followed by vomiting RUQ tenderness Scant bowel sounds ...

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

Date added: August 29, 2011 - Views: 42

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Module 5 Cardiac - Yola

High-pitched sounds are best ... Loud, coarse systolic murmurs usually suggest an obstructive heart problem. A high-pitched murmur, heard only ... the vascular channel between the pulmonary artery and the aorta Newborn must adapt to receiving oxygen from the lungs Transition from fetal ...

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

Date added: December 3, 2011 - Views: 18

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Slide 1

Ebstein’s anomaly Stephanie ... you can try other things that you would normally use for a 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 ...

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

Date added: November 12, 2011 - Views: 15

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… Read Document - Caangay Family Site

Apgar score of a newborn delivered limp, cyanotic all over, apneic ... laryngomalacia. Diminished breath sounds on either side suggests pneumonic consolidation ... or other thoracic problem CARDIOVASCULAR SYSTEM Note rhythm of heart rate Check presence of murmur. If present ...

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

Date added: July 27, 2013 - Views: 11

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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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Pediatric Cardiac Emergencies - Calgary Em

... 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 ... clear, mild-moderate WOB S1 S2 (? Single) IV/VI systolic murmur Pulses good, liver 2cm BCM Font flat, soft ...

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

Date added: May 2, 2013 - Views: 46

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

Date added: August 7, 2014 - Views: 1

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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 ... Arterial duct murmur may be heard in the second and third left intercostal space . ... Tricuspid valve diameter less than 8 mm in a newborn infant.

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

Date added: May 14, 2013 - Views: 3

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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