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The apex beat may also be displaced by other conditions: Pleural or pulmonary diseases; Deformities of the chest wall or the thoracic vertebrae; Sometimes, the apex beat may not be palpable, either due to a thick chest wall, or conditions where the stroke volume is reduced; such as during ventricular tachycardia or shock.
- history of trauma to head or upper spine. - if the injury is to the head or neck, hoarseness or difficulty swallowing may occur. Symptoms of neurogenic shock are differentiated from other forms of shock by the lack of signs of the compensatory mechanisms triggered by the SNS, usual in other forms of shock.
Findings on clinical examination depend on the severity and duration of MR. The mitral component of the first heart sound is usually soft and with a laterally displaced apex beat, [6] often with heave. [7] The first heart sound is followed by a high-pitched holosystolic murmur at the apex, radiating to the back or clavicular area. [6]
Closed-head injuries are the leading cause of death in children under 4 years old and the most common cause of physical disability and cognitive impairment in young people. [ 1 ] [ 2 ] Overall, closed-head injuries and other forms of mild traumatic brain injury account for about 75% of the estimated 1.7 million brain injuries that occur ...
Delayed onset Lhermitte's sign has been reported following head and/or neck trauma. [9] [10] This occurs ~2 1/2 months following injury, without associated neurological symptoms or pain, and typically resolves within 1 year. [citation needed]
The Detroit Lions' injury woes on defense continued Sunday, with the team losing two cornerbacks in the first half of their 48-42 loss to the Buffalo Bills.Carlton Davis III and Khalil Dorsey were ...
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