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* the meaning of "apical impulse not displaced&#
 #271462  
  fengyiusmle - 02/17/08 23:39
 
  some cases in FA wrote heart PE as "apical impulse not displaced". Can anyone explain the meaning?  
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* Re:the meaning of "apical impulse not displace
#1176446
  dream4mle - 02/18/08 16:01
 
  API DISPLACED MEANS

It is lateral or inferiOr to 4th ICS MCL

DD
enlarged heart
hyperthyroidism-if amplitude is high...hyperkinetic heart

correct me if i am wrong





 
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* Re:the meaning of "apical impulse not displace
#1176589
  chimp - 02/18/08 17:45
 
  5th ics mcl is the normal location  
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* Re:the meaning of "apical impulse not displace
#1176603
  dawk - 02/18/08 17:55
 
  yes, it is important to know about apical pulse when you examine patient.

PLACE; Normally at lt 5th intercostal place, mid clavicular line.
If it is displaced, usually outward / downward, it means heart is enlarge.
((((((If it is displaced inward (not really seen with actual patients or important at all), atrophic heart (just for theorectical))))))

RATE; regular or irregular rythm, rate- 80/min (for instance).

CHARACTER: heaving in character in Left ventrucular hypertrophy.
tapping character in Mitral stenosis, due to very loud first heart sound (also called palpable heart sound)(you wont see this in your exam, so just forget this fact)
 
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* Re:the meaning of "apical impulse not displace
#1176617
  dream4mle - 02/18/08 18:13
 
  i am sorry it was 4/5th ics

check pmi to rule out thyroid n heart ds

isint apical impulse normally tapping in quality??
 
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* Re:the meaning of "apical impulse not displace
#1177152
  dawk - 02/19/08 02:36
 
  apical impluse - normal -> no special character  
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