rumbling systolic murmur‚ heard best over the left upper sternal border. In addition‚ she had an extra‚ "S3" heart sound. Using the internet‚ do any applicable searches to give a reasonable scientific explanation to the questions below. Understanding figure 20-13 in your textbook also may add some insight to these questions. You may find the following links useful to aid you answering these questions: Congested Heart Failure Paper ABC of Heart Failure What is causing this murmur? Perhaps there
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normal. He does have a mild fine tremor of the hands bilaterally‚ which he states is relatively new. Lungs are clear to auscultation throughout. Heart: S1‚ S2 normal. No murmur‚ rubs‚ or gallops. Auscultation in the neck reveals a definite carotid bruit on the left‚ which on my exam does not appear to be a referred murmur. Reviewed his lab. He has any blood work since
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kiss‚ And on my brow may I feel‚ under the cold tomb‚ The gentle blow of your tenderness‚ the warmth of your breath. Let the moon see me in a soft and tranquil light‚ Let the dawn send its fleeting radiance‚ Let the wind moan with its low murmur‚ And should a bird descend and rest on my cross‚ Let it sing its canticle of peace. Let the burning sun evaporate the rains‚ And with my clamor behind‚ towards the sky may they turn pure; Let a friend mourn my early demise‚ And in the serene
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Group A: A newspaper columnist signs a contract with a newspaper chain. Several months later she is offered a position with another newspaper chain at a higher salary. Because she would prefer making more money‚ she notifies the first chain that she is breaking her contract. The courts will decide the legality of her action. But what of the morality? Did the columnist behave ethically? The newspaper columnist in this problem is concerned‚ like most anybody‚ with making the best living that she
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describes how wonderful and extravagant life in the bush is by using flowing and expressive language for example vision splendid‚ sunlit plains‚ wondrous glory and everlasting stars. An extract from his poem sums up the landscape of the bush‚ “In the murmur of the breezes and the river on its bars‚ and he sees the vision splendid of the sunlit plains extended‚ and at night the wondrous glory of the everlasting stars.” Banjo Paterson has created a flowing stanza of rhyme which depicts and portrays the
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My goal for this week was to learn about leadership and management from the charge nurse’s perspective. I wanted to know what leadership skills she felt were important and its impact on the unit. My goal was achieved by having a conversation with the charge nurse on the unit about leadership. She was very informative and answered all my questions. Summary of Clinical Activities We started our day in the hospital lobby promptly at 0630‚ the professor started off by explaining where on the unit each
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to your lips and kiss my soul so‚ And under the cold tomb‚ I may feel on my brow‚ Warmth of your breath‚ a whiff of your tenderness. Let the moon with soft‚ gentle light me descry‚ Let the dawn send forth its fleeting‚ brilliant light‚ In murmurs grave allow the wind to sigh‚ And should a bird descend on my cross and alight‚ Let the bird intone a song of peace o’er my site.
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"Our Casuarina Tree" Toru Dutt: the poetess‚ while living abroad‚ is pining for the scenes of her native land and reliving the memories of her childhood. In the first part of the poem the poetess depicts the casuarina tree trailed by a creeper vine like a huge python‚ winding round and round with the rough trunk‚ sunken deep with scars. It reached to the height touching very summit near the stars. The casuarina tree stood alone unaccompanied in the compound wearing the scarf of the creeper hung with
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Rheumatic fever is an autoimmune inflammatory disease that can develop as a complication of insufficient treatment of strep throat or scarlet fever. Strep throat and scarlet fever are caused by an infection with group A streptococcus bacteria. Rheumatic fever is most prevalent in children ages 5- to 15-year-old‚ although it can develop in younger children and adults. Although strep throat is common‚ rheumatic fever is rare in the United States and other developed countries. Nevertheless‚ rheumatic
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Introduction Endocarditis is an infection of the inner layer of the heart (endocardium) or an infection of the heart valves. Endocarditis can cause growths inside the heart or on the heart valves. Over time these growths can destroy heart tissue and cause heart failure or problems with heart rhythm. They can also cause stroke if they break away and form a blood clot in the brain. Early treatment offers the best chance for curing endocarditis and preventing complications. What are the causes? This
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