Monday, April 20, 2015

Heart Sound Locations

We had this question on the last critical care exam about the location of heart sounds, which didn't come up in lecture at all in my recollection, however I happened to remember reviewing mnemonics for it while preparing for my NCLEX-PN 8 months ago and it helped me.  Basically the question was if you auscultated a thrill over the right sternal border in the second intercostal space what heart sound would you be listening to?  And by blindly clinging to a faint memory I decided that it would be the aortic valve.  I was right.  But here are the mnemonics that help me:

APT M 2245, and "All Physicians Earn Too Much," (which, is a statement that is not necessarily true--doctors work hard and we're their partners, and we shouldn't bash them, just like doctors shouldn't bash nurses--but it's an easy stereotype to remember).


http://imgbuddy.com/mitral-valve-auscultation.asp
The address: "APT M. 2245" stands for:

Aorta (2nd R sternal)   Pulmonic (2nd L sternal)

                                     Tricuspid (4th L sternal)
                                                              Mitral (5th L mid-clavicular)


https://s-media-cache-ak0.pinimg.com/736x/b5/ae/34/b5ae3467d25e62792fefd544e7e9e7b5.jpg

And the phrase: "All Physicians Earn Too Much" is just, Aorta, Pulmonic, Erb's, Tricuspid, Mitral.

4 comments:

  1. My name is hoover, my 18 years old daughter, Tricia was diagnosed of herpes 3 years ago. ever since then,we have been going from one hospital to the other. We tried all sorts of pills but all efforts to get rid of the virus was futile. The blisters kept on reappearing after some months. My daughter was making use of Acyclovir tablets 200mg. 2 tablets every 6hours and fusitin cream 15grams. and H5 POT. Permanganate with water to be applied 2x a day but all still show no result. So I was on the internet some months back, to sought for any other means of saving my only child. just then, i came across a comment on dr imoloa herbal treatment and decided to give it a try. i contacted the him and he prepared some herbs and sent it to me together with guidelines on how to use the herbs through DHL courier service. my daughter used it as directed dr imoloa and in less than 14days, my daughter regained her health.. You should contact Dr imoloa today directly on his email address for any kind of health challenge; lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease.  and many more; contact him on email- drimolaherbalmademedicine@gmail.com./ also on  whatssap-+2347081986098.

    ReplyDelete
    Replies
    1. Hoover, with Nigerian phone number and "Dr. Imoloa" cures aforementioned diseases; what is his specialty? Endocrinologist, psychiatrist, rheumatologist, oncologist, gastroenterologist, dermatologist? etc... what school did he go to? Well am glad you were able to find cure for your child but the credential is too goo to be true

      Delete
  2. Hej det är laa! För 9 månader sedan berättade min läkare att jag fick diagnosen HSV2. Jag var hjärtbruten, men samma månad hittade jag en Dr Ricksin. som hjälpte mig att bota viruset med naturlig örtbehandling permanent. tack till Dr. Ricksin för hans naturliga växtbaserade behandling som eliminerat detta virus i min kropp för alltid. hans kontaktinformation för alla obotliga virus via; drricksin@gmail.com eller whatsapp honom eller ring honom via hans telefonnummer +3197005034579

    ReplyDelete
  3. Hej det är laa! För 9 månader sedan berättade min läkare att jag fick diagnosen HSV2. Jag var hjärtbruten, men samma månad hittade jag en Dr Ricksin. som hjälpte mig att bota viruset med naturlig örtbehandling permanent. tack till Dr. Ricksin för hans naturliga växtbaserade behandling som eliminerat detta virus i min kropp för alltid. hans kontaktinformation för alla obotliga virus via; drricksin@gmail.com eller whatsapp honom eller ring honom via hans telefonnummer +3197005034579

    ReplyDelete