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A parasternal heave, lift, [1] or thrust [2] is a precordial impulse that may be felt (palpated) in patients with cardiac or respiratory disease. Precordial impulses are visible or palpable pulsations of the chest wall, which originate on the heart or the great vessels .
Recurrent airway obstruction, also known as broken wind, heaves, wind-broke horse, or sometimes by the term usually reserved for humans, chronic obstructive pulmonary disease or disorder (COPD) – it is a respiratory disease or chronic condition of horses involving an allergic bronchitis characterised by wheezing, coughing and laboured breathing.
On physical examination, the most prominent features are due to the development of right-sided heart failure. These can include a raised jugular venous pressure, ascites, left parasternal heave and a tender, enlarged liver on palpation. [3] On inspection, patients may be chronically ill, cyanotic, cachectic and occasionally jaundiced. [citation ...
Advanced disease may present with signs of right-sided heart failure such as parasternal heave, jugular venous distension, hepatomegaly, ascites and/or pulmonary hypertension, the latter often presenting with a loud P 2. [3] Almost all signs increase with exercise and pregnancy. [3] Other peripheral signs include:
Pansystolic (Holosystolic) murmur along lower left sternal border (depending upon the size of the defect) +/- palpable thrill (palpable turbulence of blood flow). Heart sounds are normal. Larger VSDs may cause a parasternal heave, a displaced apex beat (the palpable heartbeat moves laterally over time, as the heart enlarges).
Hyperdynamic precordium is a condition where the precordium (the area of the chest over the heart) moves too much (is hyper dynamic) due to some pathology of the heart.That means a forceful and hyperdynamic impulse ( large amplitude that terminates quickly) can be palpated during physical examination. [1]
Byrsonima crassifolia is a slow-growing large shrub or tree to 10 metres (33 ft). Sometimes cultivated for its edible fruits, the tree is native and abundant in the wild, sometimes in extensive stands, in open pine forests and grassy savannas, from central Mexico, through Central America, to Colombia, Peru, Bolivia and Brazil; it also occurs in Trinidad, Barbados, Curaçao, St. Martin ...
P. peruviana is an economically useful crop as an exotic exported fruit, and is favored in breeding and cultivation programs of many countries. [3] P. peruviana fruits are marketed in the United States as goldenberry and sometimes Pichuberry , named after Machu Picchu in order to associate the fruit with its cultivation in Peru .