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Data 20 marzo 2016

APP. CARDIOCIRCOLATORIO – 2°

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                           APPARATO CARDIOCIRCOLATORIO – 2°

 

 

  SEMEIOTICA  CARDIACA

 

 

Sede dell’impulso cardiaco normale e patologico

 

1-224 K

 

2-212 K

 

Pulsazione cardiaca

 

3-344 K

 

4-296 K

 

5-336 K

 

Delimitazione dell’area di ottusità del cuore

 

6-420 K

7-160 K

 

8-212 K

 

Diametri cardiaci

 

9-416 K

 

 

 

Origine dei  toni e dei soffi cardiaci

 

10-396 K

 

11-196 K

 

Trasmissione dei toni e dei soffi

 

12-360 K

 

Rumori cardiaci

 

13-332 K

 

Componenti dei toni cardiaci

 

14-456 K

 

Intensità del primo tono

 

15-392 K

 

Sdoppiamento del secondo tono

 

16-316 K

 

17-292 K

 

Sfregamenti pericardici

 

18-308 K

 

Descrizione dei soffi cardiaci

 

19-292 K

 

20-288 K

 

 

Soffi sistolici di eiezione

 

21-236 K

 

22-172 K

 

23-328 K

 

24-260 K

 

25-288 K

 

Disfunzione dei muscoli papillari

 

26-404 K

 

Insufficienza tricuspidale

 

27-356 K

 

Pericardite cronica adesiva

 

28-268 K

 

Palpazione dei polsi arteriosi

 

29-376 K

 

30-428 K

 

Ascoltazione

 

31-272 K

 

Soffi arteriosi

 

32-292 K

 

33-424 K

 

34-392 K

 

35-216 K

 

36-316 K

 

37-288 K

 

Aneurisma dell’aorta ascendente

 

Sintomi più comuni:

tosse

erosione delle strutture osse anteriori con dolore severo che può essere confuso con una angina

pulsazione al tratto superiore della margino sternale destra

sindrome di HORNER: miosi, ptosi palpebrale, assenza di sudorazione dal lato colpito

 

Aneurismi dell’arco aortico

 

Sintomi più comuni:

disfagia (difficoltà alla deglutizione)

odinofagia (dolore alla deglutizione)

tosse

dispnea

voce bitonale o afona (per compressione del nervo ricorrente laringeo sinistro)

sindrome di HORNER

anisosfigmia (riduzione unilaterale del volume del polso,carotideo o radiale)

iposfigmia (riduzione bilaterale dei polsi)

 

Aneurismi dell’aorta discendente toracica e addominale

 

Sintomi più comuni:

dolore al dorso

dolore addominale diffuso

massa pulsante addominale

soffio vascolare

 

 

Ematoma dissecante dell’aorta

38-228 K

Sintomi più comuni:

fortissimo dolore lacerante,tagliente che cambia zona

 

 

Determinazione della direzione della corrente sanguigna

 

39-236 K

 

Manovra di Rima – Trendelemburg

 

40-320 K

 

Prova di Perthes

 

41-312 K

 

Esame radiologico

 

42-188 K

 

43-548 K

 

44-672 K

 

45-360 K

 

46-456 K

 

47-480 K

 

48-232 K

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