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In cardiac physiology, the Levine grading scale is a numeric scoring system to characterize the intensity or the loudness of a heart murmur. The eponym is from researcher Samuel A. Levine who studied the significance of systolic heart murmurs. [ 1 ]
Heart murmurs are unique heart sounds produced when blood flows across a heart valve or blood vessel. [1] This occurs when turbulent blood flow creates a sound loud enough to hear with a stethoscope. [2] The sound differs from normal heart sounds by their characteristics. For example, heart murmurs may have a distinct pitch, duration and timing.
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The cardiovascular examination is a portion of the physical examination that involves evaluation of the cardiovascular system. The exact contents of the examination will vary depending on the presenting complaint but a complete examination will involve the heart (cardiac examination), lungs (pulmonary examination), belly (abdominal examination) and the blood vessels (peripheral vascular ...
The Means–Lerman scratch is an uncommon type of heart murmur which occurs in patients with hyperthyroidism.It is a mid-systolic scratching sound best heard over the upper part of the sternum or second left intercostal space at the end of expiration. [1]
Duroziez's sign is a sign of aortic insufficiency. [1] It consists of an audible diastolic murmur which can be heard over the femoral artery when it is compressed with the bell of a stethoscope.
De Musset's sign is a type of rhythmic bobbing of the head in synchrony with the beating of the heart, seen in severe aortic regurgitation. [1]This sign occurs as a result of blood from the aorta regurgitating into the left ventricle due to a defect in the aortic valve.
The Impact of Event Scale - Revised (IES-R) is a 22-item self-report questionnaire designed to assess subjective distress caused by traumatic events. It is commonly used in research and clinical settings to measure the severity of symptoms related to post-traumatic stress disorder (PTSD). The IES-R is an updated version of the original Impact ...