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An auscultatory gap, also known as the silent gap, [1] is a period of diminished or absent Korotkoff sounds during the manual measurement of blood pressure. It is associated with peripheral blood flow caused by changes in the pulse wave. [ 2 ]
Korotkoff sounds are the sounds that medical personnel listen for when they are taking blood pressure using a non-invasive procedure. They are named after Nikolai Korotkov , a Russian physician who discovered them in 1905, [ 1 ] when he was working at the Imperial Medical Academy in St. Petersburg , the Russian Empire.
Auscultation (based on the Latin verb auscultare "to listen") is listening to the internal sounds of the body, usually using a stethoscope.Auscultation is performed for the purposes of examining the circulatory and respiratory systems (heart and breath sounds), as well as the alimentary canal.
The triangle of auscultation is useful for assessment using a pulmonary auscultation and thoracic procedures. [1] Due to the relative thinning of the musculature of the back in the triangle, the posterior thoracic wall is closer to the skin surface, making respiratory sounds audible more clearly with a stethoscope.
Second, medical roots generally go together according to language, i.e., Greek prefixes occur with Greek suffixes and Latin prefixes with Latin suffixes. Although international scientific vocabulary is not stringent about segregating combining forms of different languages, it is advisable when coining new words not to mix different lingual roots.
An accurate diagnosis remains challenging for various reasons including noise, high heart rates, and the ability to distinguish innocent from pathological murmurs. Properly performed, the auscultatory examination of the heart is commonly regarded as an inexpensive, widely available tool in the detection and management of heart disease. [10]
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Crackles are caused by explosive opening of small airways [7] and are discontinuous, [8] nonmusical, and brief. Crackles are more common during the inspiratory than the expiratory phase of breathing, but they may be heard during the expiratory phase.