Let Me "write with light" . I want to play with colours ! I want to live in these moments ,forever !
      I want you to live forever , forever in the world of my photography , forever in my albums !  
    Life , it would pass in just a Flickr , then why not capture it on some film !
  When you view my snaps , you actually see various events and things by my eyes !

You are Welcome to view this world by my eyes !  You are Welcome to TSNAPS !

Wednesday, February 28, 2018

CVS examination

Respiratory system examination

Abdominal examination scheme

Additional murmurs

Austin Flint Murmur is a mid diastolic Murmur audible at Apex in mautic regurgitation.
It occurs due to movement of anterior mitral leaflet between two streams of blood that is one from the left Atrium and other from aorta.
It resembles Murmur of mitral stenosis but S1 is not loud and opening snap is not present.

Graham steell Murmur is an early diastolic murmur of functional pulmonary regurgitation due to pulmonary hypertension

Carey coombs Murmur is a diastolic murmur audible at the apex in acute rheumatic carditis

Pistol shot femorals are heard over femoral arteries in Aortic regurgitation.
These may be heard over any artery.

A to and from murmur maybe audible over femoral arteries when stethoscope is pressed , this is called Duroziez's murmur.