Utility of a Sticky Note “Post-it” and a Cotton Swab as a Tool to Aid Cardiac Examination
Journal Title: Pulmonary Research and Respiratory Medicine – Open Journal - Year 2017, Vol 0, Issue 1
Abstract
A 68-year-old woman was admitted to our hospital because of worsening dyspnea on exertion for one week. She had been treated with supplemental oxygen with nasal cannula (0.25 L/ min at rest and 0.5 L/min during exercise) for type II respiratory failure due to restrictive lung disease from severe kyphoscoliosis. On examination, the patient was in respiratory distress with tachypnea. The temperature was 37.1 ºC, the pulse 86 beats per minute, respiratory rate 32 breaths per minute, and the blood pressure 120/80 mmHg. Examination of the neck demonstrated the jugular venous pressure of 10 cm of water, and examination of the chest revealed limited movement of the chest due to deformities of thoracic spine and rib cage, which was consistent with the known diagnosis of severe kyphoscoliosis. Point of maximal impulse (PMI) of the left ventricle was located at the 6th intercostal space at the left midclavicular line.
Authors and Affiliations
Takeshi Saraya
Keywords
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- EP ID EP560144
- DOI 10.17140/PRRMOJ-SE-1-106
- Views 131
- Downloads 0
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