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Select item 44036681.

StatPearls [Internet].

Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

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Select item 14453422.

Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.

Walker HK, Hall WD, Hurst JW, editors.

Boston: Butterworths; 1990.

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Select item 55208503.

Nursing Skills [Internet]. 2nd edition.

Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2023.

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Select item 54752124.

Nursing Skills [Internet].

Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2021.

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Select item 54601265.

Nursing Fundamentals [Internet].

Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2021.

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Select item 14515106.

Cardiology Explained.

Ashley EA, Niebauer J.

London: Remedica; 2004.

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Select item 34012947.

Endotext [Internet].

Feingold KR, Anawalt B, Blackman MR, et al., editors.

South Dartmouth (MA): MDText.com, Inc.; 2000-.

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Select item 52779728.

Evidence reviews for heart disease: Intrapartum care for women with existing medical conditions or obstetric complications and their babies: Evidence review C.

National Guideline Alliance (UK).

London: National Institute for Health and Care Excellence (NICE); 2019 Mar. (NICE Guideline, No. 121.)

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Select item 30504189.

Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Childhood Illnesses. 2nd edition.

Geneva: World Health Organization; 2013.

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Select item 145898410.

GeneReviews® [Internet].

Adam MP, Feldman J, Mirzaa GM, et al., editors.

Seattle (WA): University of Washington, Seattle; 1993-2024.

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Select item 549462411.

Nursing Pharmacology [Internet]. 2nd edition.

Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2023.

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Select item 548954412.

Nursing Advanced Skills [Internet].

Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2023.

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Select item 567652013.

Medical Terminology [Internet]. 2nd edition.

Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2024.

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Select item 159541614.

Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

Hughes RG, editor.

Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr.

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Select item 529470215.

Evidence review for symptoms and signs indicating need for echocardiography or direct referral to a specialist: Heart valve disease presenting in adults: investigation and management: Evidence review A.

National Guideline Centre (UK).

London: National Institute for Health and Care Excellence (NICE); 2021 Nov. (NICE Guideline, No. 208.)

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Select item 554111416.

Nursing Management and Professional Concepts [Internet].

Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2022.

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Select item 478694617.

Misery to Mirth: Recovery from Illness in Early Modern England [Internet].

Newton H.

Oxford (UK): Oxford University Press; 2018.

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Select item 262532818.

InformedHealth.org [Internet].

Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-.

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Select item 555484219.

Nursing Assistant [Internet].

Reuter-Sandquist M; Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors.

Eau Claire (WI): Chippewa Valley Technical College; 2022.

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Select item 326254820.

Environmental Medicine: Integrating a Missing Element into Medical Education.

Institute of Medicine (US) Committee on Curriculum Development in Environmental Medicine; Pope AM, Rall DP, editors.

Washington (DC): National Academies Press (US); 1995.

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Supplemental Content

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Figure 3

Relative positions of heart sounds and added sounds in auscultation. Sounds in red are high pitched. A2: aortic component of second heart sound; EC: ejection click; MSC: mid systolic click; OS: opening snap; P2: pulmonary component of second heart sound; S1–S4: heart sounds 1–4.

Cardiovascular examination.

Ashley EA, Niebauer J. Cardiology Explained. London: Remedica; 2004.
Wiggers Diagram. Wiggers diagram, including ECG/EKG, ventricular pressure, ventricular volume, and heart sounds. Contributed by JD Pollock

Physiology, Cardiac Cycle.

StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
Figure 19.1

Timing of the jugular venous pulse (JVP) is displayed in relation to the carotid arterial tracing, first (S₁) and second (S₂) heart sounds, and the electrocardiogram (ECG).

The Jugular Venous Pressure and Pulse Contour.

Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990.
Figure 24.1

Four-channel phonocardiogram taken at a paper speed of 100 mm/sec. The top channel shows an electrocardiogram (EGG lead II); the second and third channels record from a single microphone placed near the cardiac apex. The cardiovascular sound is filtered so that the second channel records frequencies below 25 Hz and the third channel below 100 Hz. The fourth channel displays a carotid arterial pulse (left) and a tracing of the apex movement (right). The heart sounds are labeled I and II. A prominent ventricular gallop (VG) is recorded 0.16 second after the second heart sound. Note that it is recorded best on the low-frequency channel. A low-intensity, early to midsystolic murmur is also present (not labeled). The apex tracing shows a sustained systolic wave and a rapid early diastolic filling wave (arrow). The ventricular gallop occurs at the peak of the rapid filling wave. The examiner should simultaneously feel the carotid impulse and listen at the apex in order to time the heart sounds and gallop.

The Third Heart Sound.

Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990.