Heart Murmur is an extra or unusual sound heard during a heartbeat, murmurs range from very faint to very loud. Sometimes they make a swishing or wooshing noise.There are two types of heart murmurs, innocent (harmless) and abnormal. Most murmurs dont mean anything is wrong but sometimes they are a sign that there might be a problem with the heart. Normal heartbeats go dub dub a heart murmur makes a dub swoosh dub. Murmurs can be classifief by 7 different characteristics. • Timing it refers to if
The year is 1989. Ronald Reagan has just been succeeded as president of the United States by George H.W. Bush. There is a certain smell lingering in the air, a certain aura of change and tension. The Berlin Wall has been destroyed, and the Soviet Union’s communist grip is beginning to loosen. Television news stations report that Exxon Valdez has spilled millions of gallons of oil into the sea in Alaska, giving the water’s surface a slick shine. This is a potentially devastating disaster for the animals
Problem: Left-sided holodiastolic, murmur with point of maximal intensity over the left base. The murmur is decrescendo shaped. Differential diagnoses: The most likely diagnosis for the cardiac murmur in this horse is aortic insufficiency, as a result of degenerative changes to the aortic valve. In aortic insufficiency, the murmur heard is due to regurgitation through the defective aortic valve. Aortic insufficiency presents clinically with a holodiastolic decrescendo murmur, with maximal intensity over
impulses the heart is generating. With the addition of this device, a doctor can detect abnormal rhythms in the heart. By using machines such as the electrocardiogram, examining heart murmurs, and aortic stenosis, the parent will be able to be informed and prepared for any ailments of the heart a child may develop. A heart murmur is when the valves of the heart do not close all the way; allowing some blood to flow through the valves when the valves should stop the flow. Doctors are able to hear a swooshing
The Hole in My Heart When I was younger, I loved to play sports. Basketball was my favorite and I was always one of the best on the team. I could jump high to get rebounds, I could use my long arms to steal many balls, I had a great shot and I did it all with grace. It was a beautiful thing and probably the only time I ever felt completely included in a group of people. Even though I was a valuable asset to the teams I played on, I was never the best. I missed many practices because I was too
For the beginning of clinical, we were asked to establish goals based on the clinical CCEI components; assessment, communication, clinical decision making, and safety. At the end of clinical, we were then asked to reflect on our goals established at the beginning of the year and if we were able to accomplish those goals. We then were asked to reflect on additional goals that we have moving forward and how we plan on accomplishing those goals. Final Reflection This semester, I had a wide range
setting. Ignoring the conventional devices of figurative language, such as metaphor, Wordsworth manipulates natural language to evoke the images he desires to illustrate his memories. Prosaic analysis of the lines, "[w]here fairy water-breaks do murmur on/For ever; and I saw the sparkling foam" (Wordsworth 33) reveals his talent for turning common language into poetic genius. Wordsworth's sensational description of the stream is heightened through his tight fusion of landscape, symbolism and diction
novel Dublin 4 was written by Maeve Binchy in 1983. This consists of four short stories which all took place in a town called Dublin. The four short stories that Binchy wrote about are Dinner in Donnybrook, Flat in Ringsend, Decision in Belfield, and Murmurs in Montrose. Each story has different characters, plots, and imagery. Also they all have different themes and conflicts. At the end of each short story Maeve Binchy does not tell what the resolution to the conflict is. She also uses familiar experiences
and angiography if necessary. Results: The average age of the initial diagnosis of the disease was at 17 months old and average age of the definite diagnosis was at 44 months old. The initial diagnosis in 85% of the cases was associated with heart murmur. In 27.5% of the cases, VSD had been associated with other cardiac anomalies. Pulmonary artery hypertension was observed in 16.5% of the cases. Fifty nine surgeries were performed on 40 patients. Conclusion: In routine and daily examination of the
Likewise, in “Lines Composed a Few Miles above Tintern Abbey” the author admires the beauty of a roaring river as he watches its many forms. Of five long winters! and again I hear These waters, rolling from their mountain-springs With a soft inland murmur. In the first part of the quote, after five years, the author shows his longing to hear the beautiful sounds of the river and witness the
Of five long winters! and again I hear These waters, rolling from their mountain-springs With a soft island murmur. Despite his position, Wordsworth can hear the “soft island murmur” of the mountain springs. As “five long winters” suggests, Wordsworth is cold and dreary—London, we must remember, is a bitter place. He longs for the islands: the sand, sun, and warm waters that those murmurs suggest. The coldness of winter could be brought about by Rebecca’s distance from her brother; they had been
The Duchess and the Jeweler is the story of the world's greatest jeweler who had promised his mother to become the richest jeweler in the world in his childhood but now that his dream has materialized he does not feel satisfied. So trying to achieve satisfaction, knowingly he buys fake pearls from a Duchess in exchange for passing a whole weekend with her daughter whom he is in love with. The purpose of this essay is to show how Virginia Woolf has successfully presented the inner mind of the characters
Globally there’s a 2 to 3 percent proportion of the infant population being born with congenital malformations. Congenital malformations, existing at birth are single or multiple defects in the body or organs identifiable at birth or during fetal development. Congenital heart defects (CHD) are the most frequent of congenital malformations. It is estimated that “eight in 1,000 newborns” are said to have congenital heart defects, an abnormal aliment of the heart and blood vessels surrounding the heart
actions are morally wrong. In this case however, the ends justify the means. Billy is committing a small wrong to serve the greater good, which reflects a higher prompting on Billy’s behalf. Billy’s patience is also tried when he learns of his heart murmur. He is attempti...
“The Rocking Horse Winner” is a story that discusses a young boy, named Paul, and his family who feel they never have enough money. The family has insufficient funds, but when Paul provides the mother with money, she only desires further. This constant yearning causes the boy to feel the desperate and the interminable need to provide for his family. He in a sense almost hungers to replace his father and become the sole provider. Through trying to please his mother, the young boy Paul meets his demise
(5)crowd. Like illumined pearls the lamps shone from the (6)summits of their tall poles upon the living texture below (7)which, changing shape and hue unceasingly, sent up (8)into the warm grey evening air an unchanging un- (9)ceasing murmur. (p. 59) The opening paragraph of this story is a microcosm, in terms of structure, of the larger construction of "Two Gallants:" both are clearly circular in style, beginning and ending with similar references and stylistic devices. The most
older. I wanted to see what I would find because after his death, he was never talked about in my house, if you even brought it up everyone would be upset. I wondered if the internet would talk about his life; his death. Maybe talk about why heart murmurs happen or even how to prevent them, but what I found was more than I’d expected. While researching I found a picture on google it was a picture of my uncle before he died seeing the picture brought back so many memories, but what the picture showed
The gate latch groans as she slips it open. She murmurs quiet assurances to the wood, and the squeal of rusty hinges softens, falling noiseless by time she resets the handle. Her breath, she holds at the base of a black poplar tree. Her bag, she drops between the potted plants crowding the yard. Her head
as a balanced on my grandparents mailbox. The fuzz of my brother’s hat slipping into my mouth as I kissed him. The startling noise of a furnace when you see your snake seep into the vents. The soft, warmth of my welcoming grandma, Mema. The loud murmurs of family members, plus annoying “shhh’s.” These are my most favorite memories that I will tell you about…. Peyton is an Acrobat! =) Have you ever wondered about a picture? I did.”We were enjoying the water at The
everyone” Murmurs of “no”’s filled my tiny ears. “I’ll go… Is it scary?” “It’s not scary Kathy, it’ll be fun.” My oldest cousin convinced me. “But the story you told us, that’s scary.” “It’s just a story.” “Can you come with us Danny?” I say to the sweetest of