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The apex beat (lat. ictus cordis), also called the apical impulse, [1] is the pulse felt at the point of maximum impulse (PMI), which is the point on the precordium farthest outwards (laterally) and downwards (inferiorly) from the sternum at which the cardiac impulse can be felt.
The eyes for corneal arcus and surrounding tissue for xanthalasma. Conjunctiva pallor a sign of anemia. The mouth for hygiene. The mucosa for hydration and pallor or central cyanosis. The ear lobes for Frank's sign. Then inspect the precordium for: visible pulsations; apex beat; masses; scars; lesions; signs of trauma and previous surgery (e.g ...
The sharp distinction between apical and baso-lateral domains is maintained by an active mechanism that prevents mixing. The nature of this mechanism is not known, but it clearly depends on the polarity determinants. In the absence of the aPKC complex, the baso-lateral determinants spread into the former apical domain.
An apical (or medial or subclavicular) group of six to twelve glands is situated partly posterior to the upper portion of the pectoralis minor and partly above the upper border of this muscle. Its only direct territorial afferents are those that accompany the cephalic vein , and one that drains the upper peripheral part of the mamma .
This requires that the heart be viewed between bones and, in particular, between ribs. The most common views are the parasternal, apical, subcostal, and suprasternal windows.. Parasternal: adjacent to the sternum. Without qualification, this means the left side of the heart but right parasternal views can be attempted. Apical: at the apex of ...
When percussing boney areas such as the clavicle, the pleximeter can be omitted and the bone is tapped directly such as when percussing an apical cavitary lung lesion typical of tuberculosis. [ 1 ] There are two types of percussion: direct, which uses only one or two fingers; and indirect, which uses only the middle/flexor finger.
Breasts are composed of three kinds of tissue: Fibrous tissue that holds the breast in place; glandular tissue that makes milk (lobes) and the tubes (aka ducts) that carry milk to the nipple; and ...
In medicine, the pulse is the rhythmic throbbing of each artery in response to the cardiac cycle (heartbeat). [1] The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the neck (carotid artery), wrist (radial artery or ulnar artery), at the groin (femoral artery), behind the knee (popliteal artery), near the ankle joint ...