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Venus, J ven 2) Vayod itty Cort, = 4) hypo tbarnicmmnis. e pst medica shor WN preners Cordes NEA vr) fla 3) Ww 4) ly bere Key Koby = 5 Bey Pek Sgyte Grbue gyms the WATS) ACE = Je herbal jnedieine, (ah ibid = a fonty Aste We ark abot inkerided dseate like, o NGrdiomyy patties Z)wberted oeyfhmen = 3) wombs pho 41) Fa yprrclata baat hveflles 1 Mec 1 Dhow 0 Symbiotic. _ hnp + WAT Lye afd ‘ Digi $ Kevan om i moe akigies - w Sas Ale hel Rectentnf Deg Segesh Fisk afte Patina Caine [* face far _ shesity = Cones seglinind (Cal F G Conary & ~ Mypertenien ps EAL GC pec prea diene, » didoted case re unwell 2 - . _ —- -” ? ? ,VIII TTI MERRRORR RRR OGRE / / Vas —? ermal ly Co, ances Ge c.pelics ref Il 7m =) Tem , Swe a & tue leek fo pulley, Clothes ee Meng > Syawesis Vgns-XX1 pebeyes Ge ef Geia\) Tbtce peopled . Pecfesien & : 4 2) 1Co tn. .Cherenie Condition $ §) Splater heed 2 ae () Tefective Sendecnre Fis 2) yasculd His C) pectech=| regh ———____-» Vases Ft, Dygeney kunt, onlecs) ——> Endecurdits nodes G) Tete pinto ofeosliel, hjperchalestretens eel : sLombel asmats fad £ hu y e Centred Cyenosi CGrnesl ° ii arcus HT > ce & eee = UL Gower i» hyper hpidenn & hh Couto) Covi Normal liptdemn pts. shorn hela grata |g Yellowish Plager peciorbs bly g mali aspect of ey nd — Posk foe CHO Cmret aras. > sf Newish — Ceamy ds Sea.|eation..cods Carner & ins .| aA 2 Arde ried poles Tine } Qa | | 5 anne Rete Ry fre ae i ais ‘Chom Nae he of pres [min potters or see op Le firm fester) pala tin Shee P Creek 1 Brachis} Bored ayy a Ta anditahe| 84 Rete. &, Ry the—> Gn te ney BUR S ipindi-n THR Expimdins 60K 4 syp ave < 60. Brawl Corda Yoo techy onedic Contd be medication tiledfed or lle cite be chews ieeenloe woth pespired ion iMnesves. Atred fie latin —— reyutarly feeplar (Ab nie) Bemittet Extagstles —s Za deter AV Bloc ¢ tepeely iaystee) UUUTUTLEE EE EEE EP (olme & Cherncter ) lager Aishlie interved 5 5 of Str Le volume 9 1 Pulte Yalan \ COU UEios >? ec, rot ~ - Ise Volumes lage. Physiolipice( or pa tholegicnt : - ? crore fae sete . = ee tected euith wadequek verdecelor fly - + Agymmedic : slendo oceulesive Antic ap Poe = Peripheva Aissecdren. = anole dsene J : ct rerowiny ed corte” > Gov tebo TL do of Sebel aCe = probe: Ase Sp leus ie) ee ee lone ~ £ Gama upstreke. Pi = ote p Gleginn > Mey oCenc in Severn sets requyttin Sever Qe fie Shes = Lig CFRaqgrate) by frisy ef hard above a plat Myth Is, ae . tras bis Kern A pale -. derbre. yystolie Peale t fies pot hy Daechot Sorkin. sion : Agus” oil berits ——nbent = beat Uscitcpion in pli a P Veleme, in adimed HE. ~ Pubs pemdMss 2 Wem vereblitg of pole 2 Vlora Lui bredhlig . . + (. que. te pocencdiod flurd ef pecicercdiod . Costechen. Rin acte sewer as fhe. = © Rie» Pressure, ee . 2% Syvtehe | disshlic melt, RY LE set patie. . Klute Gof HIM se le tee fon dell ce sflegs Hi Stoke Des belie : > Qaoe {4o 154 Go~ 714 eee Ko-119 loo - 104 + _> [go L1G aommn Problems ww BR measured — an ; SabC loves Powe Oe senses hypedeasien Jae seats proses > eshte iby observe} CN flecss Jee Ph aban t presee_( <7 mn tty) p> Sheil) be. SM Cm 9 abort: Steed Ansile..seiben pt hes ot HS Cages in OMe 4 ere yn agent cl Flank in ghtes af fled orln: & high RA ertriceler fly. pressor Mechanical obstect= f SUC Cot near plsetle elvetion ANe - gence tte: . Cnnen “Weved a a < | Mac Lobthetn Q fy } the level of puedes of ibe Joyner vers q w Jere within t iced rege. # sve on inspinnten seen as Rt atrium Galrd’s w acpie Uo lek. es aged PCP ies rept [ Yo wt VAT \ \ \ RENN \' Ce 7 / I — © Se Ack) Conds . 1) Opening Snap: Cadden openry of stenoses valve. (communly veibyal Valve) Be sce cots in he Hiastale,(ofler Seemd somd Sa) 44-4 Pena) by dopln nedel o Me oper S fe O8. = VETTEL yyy aesarmetl 2) Licetion chek + pene “f slenagesd vatean vt peti a) Cogent prtvamacs stenosis 3) congeartel sorbic stenesisQe if occurs early in Syste gust afler Si Heid by aaphow at RE GIP. sper sterrmd. bores Se ¢e Se H Nde + Ljecton chek geesct coour in Cabeified aarke stenosis due. te fhe. regidty af He Casps- 3) Mid. gastolic click» Gcewes in mitral vale probyps© Be mes) be asseciedes) cath Inde syste. marmars « yeen tlave by duphrom af Be apex - Si ASC. Sa ie ye Herckencol aor fie Yale N\ LG Hedellic Seis Chsine YW Me chanical Heart Sarmels Ejection Chek im open. lechanicn Mie f Valve: (” Helallic Sr 1m Close Opens Sua is Open. > t > High ~ pitched Sound metallic 2 of fen (us wally AS focinfed Palpbk : will W, pire \ \ CWAsv\\ GB) Rei cordial Freetion fab 0.18 9 Conse seevbchiny Sood Dee gore Jastole Compuent due to 5 A) ate pecicard#'s 2) Post exten ML You can hear id ower Sey put od forcardonn | bA a 7 fh lecot'tes) Ma Varying te intensity over \Hivee RD pntiot 5 pas Pen Ln lar Sowds: ( plescopeconaial (2) Presmaper cordon an Aortic) Meabanien!l Valve ets, © Syetin Chee Kl) Ad-gshlis chek te . 2) eel Mitral velve : 3) Openicy Smee Lo J Nacmars Get. pasacs Yiocid / 1) Terbulet pe acras Adebwrnel vee. 8) septnt defect Lf ont ha. alghrehen. os, 9) Trerepse) Blood _Volune «velocity Phresh norm yawe_ (innocesd pearws) LE is prt pores . heck fle Tey duation. SlerinnAion 4 mantimas % Chamater [pre Qe rntensity. 3) lecufier Radiation ve Ae ea ual VAAL eh Tem itr 5, Kc Sp fe, Fred saber oer the ) 4) Mormats [nana ‘ Thetfy 5 te systone oe Jyastehe is Harm ae : careeros oe / Gatole is afer Sr Kend af Sr hile dhusfele. bens ot a See cofime KM Sy 9 Petraes + ae Prlrorar Reaorhic equa itufion sturf 1n Cone. draSpole, (GB) Koewded Hd Daal ble mideal & eeee sfoness Shee} af md dnabele (Sy) -e- D) Chara cher & pitch: This is a hiyhly subject a ef we we words Kite, Hargh , Blowing j musice High ra ow pitched. — . - 3) Meme Titesib) (geertk Conrehfe with Valve dp fonction Seuect4) woh i nF could be: useful in assis Hee ProyeSinaf of Fa yalve. lesion. Pf te © Repaly chayeg mermucs Cub) indierden edlacanl bs (infective). ee 4 Jsconsfiem = hf fhe sie af Be murmur Curbed hel im dinshohc mureur otf ferotation. bot lest helpful a Spkls eee its —s murmers Radiefe. is fle directhien 4 Rood Plus jn peaPic vies outside He precialion (eoWd he helppel i os oe = = Zz of Phen tiafien sf. f tyes) SG ip LO rcs rs masse SA LE. Systohe Metra B tycetie mmrmar —» rene: Plow Wragh memed value £)tarbebd Flow Ubromgh Decne abstie a cathe ply [ atone od ye bate 6 paspt We perme ade Feqay tationee ae “a € om, ee ae Sel eee Cetion & e Wash, a Aortic. steos's Syst oe oe ell Sy aeppa md stl Children hugh pitched Sastelic Mibal Regagiatin pnaghbe bless sh 7 +(I mrad prclegse Ms pits? cia 29-systole) Veutricwlar sept] pansystelic Ved) resem fhe a ect ee Regu arly diese Jospeh sata tection | a Jos Candin 15 ede? _: et to severit, nod “Us? Tes Ics. vy Aushin. ftat rid dias ee Meteo Alcompanieh aos tic rragucey Mion Medea! Lete diastole blow 3 Stenosis Jew. 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Skesis . 2 La spirwtion Pree Rik —tburdle branch blak. = a eed <4 fhe ope after Coad cor hypertrophy stenosis. ee hypa densi Nero in Childeen na wells , fo bel prhet Abnevmnel fer he Se of 46 (caves — VertntAar Pe Mod Raygittin Cont tout on yet hol f vefrie [Q [efPeciphows or fe, os Syston > Hate. (yar Presecheg Aor * ly Pre 2) age, we Shes Symptom sic PShemnig (Gra lonley, abheetieg a 90 1 meen = Cdefad - Site) vege ls regt ontel fo Breccia PreSarQ index -f <4 af Por Phen surg disomy ; frorbamt PP por caasp, Pit Ae madeet B seen Pap fleck fogs mene lne ems SW lower limb offechl# moe Ay ehecescleress 2) TRE. arteriat syply te tee legs is les ceveleped) Velater de fhe muscle mess. : 2) Totermiplenrf Claudi Cation '$ o pais LH in dhe. loys on walk due tte arterial no Pfrcianty. ———- 7 DAD) (te ptt chiccbes (al Core J pes d # ) Chchat 9 ce —Tprteess cCranp-lehe) fof Fe velops «fle tEEEERD EEE Foctaine Classiff ccfin of beer lend yu i Coustred divtine : 3K {> asynptordc , 4 - = vader bent Chaad:cection 2 : ae night Jresk pric , ] i Face 658 Gngrere) . W —> ; LW. amen esenesemeer anaes 7Ole Bases vk loser lion @® Grleour Heetss @) Margene Cleuaication © Yoros Cleudicefior. o ce get prin Per os die fe poor parsons resect: in WRI BP / ( ara ot ped phat Oceur when FAS Reh ha fhe ot Fe bed oo 5 ’ k thay aad. fey wy Rest p OR Blas 3 is fo fo sipply fle. rerbelie deimano) 4 Cen 7 Fee Jon 8 eSSoemta) with mle pretiae. of SB0mmN) foe preset of -<30—m By pe «Ho + ahasty, ' Aute ims 9 pelsne® Echemia Jor pessi ‘islet Colebess prasthes ia Btissne boss (Vlewndor /op ao) apse ne f pAD / Bolly of Ae tps of ays (6) Ate fo Iimb iSCheme Si iam Ihrem be Cmbel'srr Bem tS heb associefed aSSaciufee) with woth Cloupdcorfrer) oud odien’) Se \rot ZC oops tine ail wT - t epsur2 in Phe Cief — Compartme af the fe " ie Col fy Phe m0 bo Crerman Pleted Stbmes- 7a Val. ==> ky 5 Spe piem Sie 2!) Seen pun 2) Onreleive) by opts ass g)E Ke cabeting ‘J eodive ov posic a : 4 a ne LY Mo Addenind pain oe ae : 3 Mesotric Schemia fe of 61 ae? ep deschee Ke \ee Sy ign ficod sasepeg less Fy . D) Sever Bento pain devaly ode 4 do AG. mia coc ; G Abdvinined forfi c ; Sen Co abdeminmnd pom back Pa whitile, abdemind mass & Syreepe one. yeh i risccits. wih AAA. ii ae spas. Glee Syoptes doe8 now's phemanens Cs afherse mb Se aon ) pallor phe, AAA oe altrnrboe. 2): Cyeno3us \ (vind Ebel C Sorfe 3) nessPS ff 8 8 fo oF EE EE a4 Se ee ee DD ADR eS SS *» Yo Prove a y~ mI ahs SA rede fie. Mri Codenet Aagather inpobes reach AV node. 1 olay allows avin, Fhe CoAract Ve emply Findo yordvicles Tonped ses ht AV. bande. beach off we bundles olen . foot od herd ints peck « Pecs Canhinsy Codeedion of PAvcles locienefien «7 Tee . he vetricles ne , ela x. f Rem f ll i