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24 December, 21:07

A student states that a client has palpable rushing vibration in the area of the pulmonic valve. What should the instructor explain that the student is feeling?

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  1. 24 December, 21:21
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    A thrill is palpated by the student.

    Explanation:

    AA thrill is a palpable vibrating or a purring sensation or a murmur felt on the skin surface overlying the turbulent area when an examiner palpates the pulse of a person. Thrill actually represents a vascular pathology due to vascular turbulence arising from incompetency of a heart valve.

    A thrill is felt by palmar and finger movements of the hand over the cardiac landmarks and palpating over it.

    A thrill felt in the area of the pulmonic valve is indicative of pulmonary stenosis or pulmonary valve regurgitation. The vibrations which the student is feeling are due to the turbulence of blood flowing in the right ventricle.

    The pulmonic area thrill can be palpated by palpating at the left upper sternal border area, mostly around the second intercostal space.
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