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| | Heart sounds - Wikipedia, the free encyclopedia |
 | | The splitting of the second heart tone varies with the phases of respiration. |  | | This means that left sided murmurs Similar to inhalation increased blood flow to the right side of the heart can be facilitated by having the patient lie supine and raising their legs up to a 45 degree angle. |  | | It is physiological to hear the splitting of the second heart tone by younger people and during inspiration. |
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http://en.wikipedia.org/wiki/Heart_sound
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| | Heart Murmurs - Texas Heart Institute Heart Information Center |
 | | If your heart murmur is caused by disease of the valve itself (intrinsic valve disease) or other heart defects, medicines or surgery may be needed. |  | | Usually the murmur is found during a physical exam for other symptoms, such as chest pain, shortness of breath, fatigue, or the presence of a blue coloring to the skin or fingertips (called cyanosis). |  | | In most cases, your doctor will be able to hear your heart murmur by using a stethoscope to listen to your heart (a technique called cardiac auscultation). |
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http://www.texasheartinstitute.org/HIC/Topics/Cond/murmur.cfm
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| | Normal Heart Sounds |
 | | A diseased heart is simply not able to pump all of the blood delivered to it--a condition called cardiac failure. |  | | The heart rate is also influenced by the sex and the age of an individual. |  | | Such a procedure involves the implantation of the pacemaker beneath the skin and connection of its electrodes to the heart. |
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http://www.jdaross.cwc.net/normal_heart_sounds.htm
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| | Reviews of Understanding Pediatric Heart Sounds by Steven Lehrer |
 | | Also, the technique of dissection, which involves concentrating on one portion of the cardiac cycle or one heart sound to the exclusion of others, is often beneficial but is not discussed in the text. |  | | As pointed out by the author, functional benign heart murmurs are common in children, yet perplexing for the practitioner to identify. |  | | The title of this publication seems quaint for the 1990s, at a time when technology has taken over from the stethoscope and a child with a complex heart malformation can be evaluated and surgically treated without the bell ever touching the chest. |
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http://stevenlehrer.com/heartcritic.htm
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| | Sounds of the Heart |
 | | It is best heard at the apex by having the patient lay on his left side and using the bell portion of the stethoscope applying very light pressure to the chest. |  | | Listening at the mitral area, of the patient’s chest, you can hear the sound of the mitral and tricuspid valves closing. |  | | It can be heard at any sight of ausculation, but it is best heard at the apex with a diaphragm firmly pressed against the patient's chest. |
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http://rnbob.tripod.com/soundsof.htm
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| | Program Abstracts. Auscultation |
 | | Content includes cardiac anatomy and physiology and basic heart sounds, in addition to coverage of pulmonary anatomy and physiology, fundamentals of sound, bedside patient assessment, the stethoscope, mechanisms of lung and heart sounds, and the clinical applications of auscultation. |  | | This program is designed to improve your ability to auscultate heart sounds and enhance your understanding of their physiology. |  | | CD Instruction in examining the chest, identifying normal breath sounds, bilateral chest exam, and identifying lung lobes. |
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http://www.utexas.edu/nursing/nancy/avcatalog/subjabausc.html
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| | Monitoring The Heart |
 | | Next, the doctor places the stethoscope on the chest to hear the sound of the heart. |  | | If the tip of the heart can be felt pushing against the chest, the heart may be enlarged. |  | | To monitor the heart, a doctor begins by touching the chest. |
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http://sln2.fi.edu/biosci/monitor/monitor.html
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| | Heart Murmurs |
 | | The heart is a strong muscle about the size of your fist that pumps blood around the body. |  | | In some people, there's an extra noise that the blood makes as it flows through the heart. |  | | It sits inside the chest and is protected by the rib cage. |
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http://www.kidshealth.org/kid/health_problems/heart/heart_murmurs.html
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| | NORMAL HEART SOUNDS |
 | | S2 A normal second heart sound (S2) is produced by the pressure changes and vibration of valves and contiguous structures induced by motion of the aortic and pulmonic leaflets toward their respective ventricles. |  | | S3 The physiologic third heart sound (S3) is a low-pitched vibration occurring in early diastole during the time of rapid ventricular filling. |  | | The physiologic S3 occurs just after A2 and is best heard at the apex with a patient in the left semilateral position. |
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http://www.familypractice.com/heartlab/Text/normal_heart_sounds.htm
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| | Stethographics Home Page |
 | | This virtual auscultation multimedia course reviews the most important lung sounds, their mechanism of production, their locations and their clinical associations. |  | | A Simplified Introduction to Heart and Lung Sounds package includes powerful multimedia courses for learning heart and lung sounds and their associated pathologies. |  | | Intended for everyone interested in clinical medicine, particularly students and residents in medicine, nursing and respiratory care as well as those in physician assistant and emergency care programs. |
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http://www.stethographics.com
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| | Habits of the Heart: Lessons: Lub Dub (Valves) |
 | | This 3d tour inside the heart helps the viewer to grasp the concept of the heart's inner workings, as well as providing an excellent internal and external view of the heart. |  | | Along with a basic diagram of the heart, this page by Dr. Carl Bianco, M.D. gives an overview of how the heart functions, especially concerning the heart's chambers and valves. |  | | Do you think a valve with a hole would be a health concern? |
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http://www.smm.org/heart/lessons/lesson5.htm
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| | Physical Examination - Heart Sounds |
 | | The medical history will be obtained and a {chiro_phys_exam} physical examination performed. |  | | The physical examination will include careful attention to the heart sounds. |  | | Is there any family history of heart problems? |
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http://www.becomehealthynow.com/ebookprint.php?id=634
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| | Heart sounds |
 | | He is thinking of using signal analysis to study left ventricular assist devicesdevices placed in the heart after congestive heart failure which cut down on the energy the heart exerts to pump, allowing it to heal more quickly. |  | | That's why your heart rate increasedyour sympathetic responses strengthened for a few seconds. |  | | Chander remarks, "The autonomic nervous system affects the entire bodyit affects the digestive system, it affects respirationso the fact that we're just trying to heal the heart with these devices and we're seeing restoration to a normal state everywhere in the body
that's a very positive thing." |
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http://www.engr.psu.edu/NewsEvents/EPS/v17n2_2001spring/heart.htm
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| | Cardiothoracic Surgery www.openheartsurgery.com: Heart Murmurs |
 | | Your heart is a pumping muscle that works nonstop to keep your body supplied with oxygen rich blood. |  | | During this surgery, problem heart valves will either be repaired or replaced. |  | | Four one-way heart valves keep blood moving in one direction through the heart. |
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http://www.openheartsurgery.com/heart_murmur.html
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| | heart_sounds |
 | | The third heart sound, which is sometimes heard in children with thin chest walls or in patients with left ventricular failure, consists of a few low-intensity, low-frequency vibrations heard best in the region of the apex. |  | | The vibrations are engendered in part by the abrupt rise of ventricular pressure with acceleration of blood back toward the atria, but primarily by sudden tension and recoil of the AV valves and adjacent structures with deceleration of the blood resulting from closure of the AV valves. |  | | The vibrations of the ventricles and the contained blood are transmitted through surrounding tissues and reach the chest wall, where they may be heard or recorded. |
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http://www.usc.edu/dept/biomed/bme403/Section_3/heart_sounds.html
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| | Heart Anatomy - Interior View |
 | | Internal Heart Tutorial and Self-Test to review basic anatomy of heart, chambers, valves etc... |  | | Sheep Heart Interactive tutorial with views of dissected sheep heart... |  | | Posterior Heart Tutorial and Self-Test to review basic anatomy of heart and vessels... |
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http://www.gwc.maricopa.edu/class/bio202/cyberheart/hartint0.htm
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| | Cardionics Heart Lung Sounds CD Popup |
 | | The student may quiz himself or herself on any portion of the arrhythmia teaching system that has been studied or the entire program if he or she chooses. |  | | This CD-ROM covers coronary artery disease with emphasis on cineangiography and valvular heart disease with emphasis on echocardiography. |  | | The user can review the electrocardiogram, a series of echocardiograms, cath lab data and results, heart sounds, and chest X-Rays. |
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http://www.earlink.com/MP_cardionics_heart_lung_sounds_cd_popup.htm
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| | Children's Heart Institute What is a Heart Murmur? |
 | | A heart murmur may indicate that there is a heart problem or may be due to normal blood flow. |  | | Most of the time heart murmurs are normal and do not indicate that there is anything wrong with the heart. |  | | A heart murmur is a swishing or a whistling sound that the doctor hears when he listens to your child's heart with a stethoscope. |
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http://www.childrensheartinstitute.org/educate/murmur/murmur.htm
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| | Congestive Heart Failure |
 | | This decreases the workload for the heart and may reduce the need and level of medications. |  | | Continued monitoring by your veterinarian is critical to maintain a stable condition of CHF. |  | | Close monitoring of Squirt's heart condition by owners and her Doctors have helped Squirt enjoy herself to the fullest! |
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http://www.petdrs.com/chf.htm
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| | Heart Sounds Tutor |
 | | Nurses often auscultate the heart but may have difficulty identifying the sounds they hear. The purpose of this tutor is to describe the basic characteristics of heart sounds and what they represent to cardiac function. |  | | There are four major functional areas of auscultation of the heart. They are named for the valve that they best assess. |  | | Heart sound auscultation is just one part of your assessment. Correlate it with the patient’s clinical condition, and presenting symptoms to best understand what your assessment means for this patient. |
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http://www.ed4nurses.com/heartsnd.htm
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| | Lecture Notes-16 |
 | | The baroreceptor reflex will cause the heart to speed up and increase its stroke volume. |  | | When pressure in the left ventricle becomes higher than pressure in the aorta the aortic valve opens and blood is expelled from the heart |  | | Resting heart rate is about 60-80 beats/min (lower in athletes because they have large stroke volumes) |
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http://members.aol.com/Bio50/LecNotes/lecnot16.html
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| | TIME.com: Updating the Stethoscope with an iPod -- Page 1 |
 | | By listening for subtle changes in sounds produced in the chest, they can detect heart murmurs, valve problems, or various lung conditions long before symptoms emerge. |  | | For an instrument that was invented in 1819, the stethoscope still provides physicians with a wealth of medical informationprovided they feel comfortable using it. |  | | It's the kind of situation in which practice really does make perfect. |
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http://www.time.com/time/health/article/0,8599,1150017,00.html
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| | Biol 218 Lab #3: Heart Anatomy and Function |
 | | Be able to name the events of the cardiac cycle and relate them to: components of the ECG tracing, pressure changes within the various heart chambers, systole and diastole of the ventricles, the timing of valve openings and closings, etc. [Study the diagram in Hole.] |  | | Projections and heart auscultation points for heart valves [excellent pictures] |  | | Biol 218 Lab #3: Heart Anatomy and Function |
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http://www.cbu.edu/~aross/APII/Heart-Lab.htm
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| | Heart & Lung Sounds for Nurses, 2nd Edition at Academic Superstore |
 | | Heart sounds are linked to case studies, allowing the student to determine how the nurse in the example went through the step-by-step process and what her conclusions were as she went through each step. |  | | Delmar's Heart & Lung Sounds for Nurses is an excellent learning tool that helps nurses identify and interpret normal and abnormal heart and lung sounds. |  | | Study Examples present six examples of the skill being implemented. |
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http://www.academicsuperstore.com/market/marketdisp.html?PartNo=738687
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| | Heart Sounds |
 | | See also example of Aortic Insufficiency Heart Sound Analysis. |  | | specific heart conditions, develop correlations with medical conditions, interpretations, |  | | Below Please find Some Examples of HES Application for Several Heart Conditions, |
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http://www.bsignetics.com/serv02.htm
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| | Heart Sounds and Murmurs |
 | | The Physiological Origins of Heart Sounds and Murmurs is a multimedia CD-ROM that integrates functional anatomy with cardiac auscultation to explain and elucidate clinical findings and observations. |  | | We realize that our Educational Users, Physicians and Medical Students will be very interested to examine and to have access to a varieties of existing heart sound data sources. |  | | Several clinical studies with the heart sounds, case histories, echograms |
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http://www.bsignetics.com/databases.htm
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| | Blaufuss Multimedia - Heart Sounds and Cardiac Arrhythmias |
 | | Heart Sounds Proficiency Test: this interactive multimedia program has been used to measure auscultation proficiency of physicians and allied health professionals at all levels of training. |  | | Heart Sounds and Murmurs CD-ROM: translated into Spanish and Japanese editions, used in medical schools worldwide, this program is the classic reference for cardiac auscultation. |  | | By moving a virtual stethoscope over the chest, you can listen to the heart at several listening locations, while at the same time, you will see a video of the patient's pulsations in the neck, precordium, or extremities. |
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http://www.blaufuss.org
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| | Computer recognizes abnormal heart sounds in children |
 | | Their use on heart sounds has been examined in a few studies with limited results and applicability. |  | | “Such a device is not seen as replacing the need for a clinician’s assessment in a child found to have a heart murmur, but it may help the doctor render a better opinion,” DeGroff says. |  | | Less than 1 percent of heart murmurs are a sign of problems such as those caused by defective heart valves or a malformed heart. |
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http://www.eurekalert.org/pub_releases/2001-06/AHA-Crah-0306101.php
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| | Understanding Pediatric Heart Sounds |
 | | Reviews the anatomy and physiology of a child's heart as well as principles of sound, hearing, and the proper use of the stethoscope. |  | | Details methods for history taking, performing a physical examination, and auscultating the heart. |  | | Steven Lehrer, MD Teaches how to examine the heart of a child, with a booklet and audio CD that reproduces heart sounds. |
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http://stevenlehrer.com/heart.htm
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| | Heart Sounds |
 | | Teaching Materials; Respiratory Sounds; Lung; Heart Sounds; Heart Auscultation; Audiovisual Aids; |  | | Teaching Materials; Respiratory System; Respiratory Sounds; Respiration Disorders; Respiration; Heart Sounds; Heart Murmurs; Heart Auscultation; Heart; Audiovisual Aids; |  | | This Web page was designed to help medical students learn about normal and abnormal heart sounds and to improve their diagnosis skills. |
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http://omni.ac.uk/browse/mesh/D006347.html
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| | CADI: Heart Sounds |
 | | Various heart disease affect these sounds in different ways, which is what makes this a valuable diagnostic technique. |  | | The human heart is a complex machine, with many parts pushing and pulling, and blood continuously flowing through the heart and great vessels. |  | | The regurgitation results when the valve leaflets fail to close properly, and allow blood to flow back through the mitral valve. |
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http://people.cs.uchicago.edu/~fensterm/CADI/heart-sounds.html
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| | PSTC Paramedic Student - Normal Heart Sounds |
 | | A useful aid is to keep a finger on the patients pulse. |  | | It is more important to learn the cadence (the rhythmic sequence or flow of sounds) than the quality of the sounds at this point. |  | | For now we will be happy if you can identify which sound is S1 and which is S2. |
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http://www.monroecc.edu/depts/pstc/backup/parasns.htm
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| | R.A.L.E. Heart Sounds |
 | | The Health Sciences Communications Association has given a Certificate of Excellence for R.A.L.E.® Heart Sounds and Murmurs. |  | | Note: This limitation does not apply to the new R.A.L.E.® Lung Sounds program which was developed as a 32-bit Windows application and uses any Windows-compatible 16-bit sound card. |  | | presents a wide range of heart sounds and murmurs |
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http://www.rale.ca/HeartSounds.htm
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| | Heart Auscultation and Heart Sounds Analysis |
 | | We are focused on the cardiovascular market segment, specializing in cardiac rhythm analysis, monitoring, and diagnostics. |  | | Right now Company offers two software products that are focused on the educational and non-clinical research markets and work with heart sound databases, while at the same time working on GMP and Quality Assurance systems and on the regulatory approvals with the US Food and Drug Administration. |  | | It was founded with the singular focus and mission of developing an inexpensive and widely available early detection heart diagnosis system. |
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http://www.bsignetics.com
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| | Heart 106.2 |
 | | Take part in the Thames Pathway Walk in aid of Macmillan Cancer Relief click here... |  | | Register for the Heart Laugh now on 09051 99 1062 and you could have the chance to guess the three famous laughs on the Heart Laugh. |  | | Grab your mates and come and party with us at the final Heart Big Night Out this Thursday click here... |
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http://www.heart1062.co.uk
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| | AccessMedicine - Harrison's Internal Medicine: Heart Sounds |
 | | "The major components of heart sounds are vibrations associated with the abrupt acceleration or deceleration of blood in the cardiovascular system. |  | | ) is influenced by (1) the position of the mitral leaflets at the onset of ventricular systole; (2) the rate of rise of the left ventricular pressure pulse; (3) the presence or absence of structural disease of the mitral valve; and (4) the amount of tissue, air, or fluid between the heart and the stethoscope. |  | | Topics Discussed: aortic ejection sound; ejection sound; first heart sound split; first heart sound, s1; fixed split of second heart sound; fourth heart sound; heart sounds; midsystolic click; opening snap; pericardial knock; reverse split of second heart sound; second heart sound split; second heart sound, s2; systolic ejection sound; third heart sound. |
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http://www.accessmedicine.com/content.aspx?aID=79467
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| | Challenger Heart Sounds - Auscultation Course & Atlas |
 | | Assess your knowledge of heart sounds in an interactive, self-paced environment. |  | | Improve your auscultatory skills by listening to important examples. |  | | Your computer must have speakers and be able to play sound for you to participate in this course. |
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http://www.vlh.com/shared/courses/course_info.cfm?courseno=209
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| | PSTC Paramedic Student - Learning Heart Sounds |
 | | To be able to appreciate and make physical diagnosis from heart sounds it is VERY important that the student paramedic understand the normal sequence of events in the normal heart. |  | | Heard in the early diastolic period and is normal in children. |  | | murmur - A sound, heard with a stethoscope, usually created by turbulent blood flow through abnormal valves. |
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http://www.monroecc.edu/depts/pstc/backup/parashs.htm
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| | Blaufuss Multimedia |
 | | This interactive quiz will test your ability to identify correctly the first and second heart sounds, extra sounds, diastolic and systolic murmurs in recordings of actual patients, using a computer animation of the carotid pulse for timing. |  | | The Principal Investigator for this research project is Richard Wong, M.D., working in the research lab of John Michael Criley, M.D., of the Harbor-UCLA Medical Center. |  | | Processors slower than 200MHz with less than 64MB RAM may have trouble playing the movies smoothly. |
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http://www.blaufuss.org/tutorial/indexTut.html
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| | Heart Sounds Tutorial |
 | | The prototype of the diastolic regurgitant murmur originating in the left heart is that associated with aortic regurgitation. |  | | Normally, students in a physical diagnosis course must piece together various sources of information, such as sounds from a cassette tape (linear media), pictures from a text, and brief experiences with a subject in an examination, in order to create in their minds what is integrated here in this shocked Macromedia Director® animation. |  | | Diastolic regurgitant murmurs are produced by retrograde flow across incompetent semilunar valves. |
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http://www.sci.sdsu.edu/multimedia/heartsounds
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