212
2054147819011156112
infectious851596012839110157218280319358428498552
endocarditis.14395960128137207277347409472518588626665704758794
Trofical22695960128161207277325362425488525
skin28305960128130200239308
disorders31745960128145185239308356426488534589
occur37995960128144207269338385
in42195960128115184
heart44385960128145208270317355
failure,48285960128122185224262333379441476
in53395960128114184
"intermittent85183901285796167206269314423460500539602672710
claudication"1597839012862100163232302341404466504543613684740
-2372839012849
a2456839012862
sign255383901285593163233
of2820839012870118
peripheral2973839012870131178217287356419466528566
arterial3575839012862110148210257295358397
insufficiency.4008839012837108162232279326363426465527597660730764
Edema10651082012694172234351419
on15201080012888158
lower17131080012856126228290337
extremities20841080012880149188234297406443482521584639
(variant27591080012864134196243282345414452
of32471080012887134
generalized34161080012887149218281328390428468530592662
edema)41121080012880149212321381430
-45771080012865
a46771080012880
sign47921080012872111180251
of50781080012887134
right52471080012864102172241280
heart8511321012870133195242280
failure.11671321012876137176215285332394429
Local163113210128116185247309349
edema20141321012891161224333393
occurs244213210128100163225294341396
with287213210128131170208279
peripheral31861321012898161208246316386449495557596
venous38171321012899161230300371425
blood42771321012899137207278347
flow46601321012875114184285
disorders49801321012898138192263309379442487542
(e.g.,8511563012847109144214249285
collar-like11711563012891160200238301348395433472542605
edema18101563012892162224332393
-22381563012877
Stokes'235015630128108147218287350404429
collar28141563012892161200239302348
-31971563012876
in33081563012869139
effusive34821563012892139186255309348418481
pericarditis39981563012898161208246308371416486525563603657
or46901563012899146
aortic48711563012891161209246285348
arch52541563012894141202272
aneurysm).8511805012862133195265312382435546590625
Examination10652051012694164233351388467537584623693771
by18712051012678147
regions20532051012663126195234304382437
of25242051012670117
body.26762051012679147226296333
Xanthelasmas106522880128101163233273343405443506561670730785
on18862288012880151
the20722288012849119182
eyelids22882288012873144204243283354408
are27312288012873120182
yellowish29482288012881141180220289391430485554
deposits35382288012880143212283337375415469
of40422288012881128
cholesterol,42052288012873142213251314367407469515586624660
senile49002288012865127198236275337
arch52722288012873119180249
is851252901283994
a9812529012862
ring1078252901284684155224
around13382529012862109178247318388
the17612529012839108171
iris:1967252901283885123178217
with221925290128101140178249
hereditary25022529012870133179242311350389452498569
dyslipidemia,31042529012870140195234273343382452514624660723758
atherosclerosis.38972529012862101172234281350404467506568613684739777831867
Lukin's10652771012886155226265335361414
symptom15152771012855126234302342412522
is2070277101283994
a22002771012863
petechial22982771012871134173236297367405468506
rash28402771012847109163234
on31092771012870140
the32852771012839110172
conjunctiva34912771012863133204243311382445483521592654
of41852771012871118
the43382771012839110173
lower45462771012839108209271318
eyelid48992771012863133194233272343
with527827710128101140178248
infective8513012012839110157218280319358428490
endocarditis13763012012863132202272335397444513551591629684
(Fig.20963012012846124164234270
7).23993012012870117153
The10653254012886155218
terminal13183254012847110157266303373436475
phalanges18293254012877147209248311380449511566
of24313254012878125
the25913254012847117179
fingers2806325401285492163232295342395
have32373254012878140210272
the35443254012847118180
shape37603254012861132194264326
of41213254012877125
―drumsticks‖,42813254012870138185255366420459497560629684747782
and50983254012870139210
the53443254012845115177
nails8513495012870133172210265
are11513495012875122184
shaped13703495012868138200269332401
like1807349501285290161222
―watch20643495012876176238277339410
glasses‖25093495012883122184239293356409472
(Fig.30163495012863141178249285
8)33343495012883130
may351334950128109169241
be37883495012883146
observed39693495012883154208270317386449518
in45233495012852122
congenital46813495012875144215284347416456494557595
and53113495012875145214
some8513737012855125235295
acquired11813737012862125195265304351413482
heart16993737012870132194241279
defects,20133737012870133180242304342396432
in24803737012839108
chronic26243737012863133181250319359421
heart30803737012870133194241280
failure.33953737012847110147187256303366402
Figure8515261012878117188257305367
7.125352610128174210
Lukin's149852610128191261331370440465520
symptom205252610128160231339407447517628
-271452610128152
pathognomonic8515447012870133172242311382452521631699769809871
symptom19525447012855125233300340411521
for27015447012847117164
infective8515631012839110157218280319358428490
endocarditis.13765631012863132202272335397444513551591629684720
Figure31845261012878117188257305367
8.38015261012870106
Drumstick415952610128101148218326379418458520591
(clubbed,50015261012847109148218287358420490526
Hippocratic)318454470128101140210280351412459522561599662709
fingers39285447012882121191262323370425
and43875447012899170239
«watch466254470128107208269308371440
glass»513854470128107145208261316387
nails31845631012870133172210265
(on34845631012810835915631012870141
the37675631012899169231
left,403356310128100162201240275
for43435631012898169223
comparison,460256310128123192294363433488526580651721756
a539356310128130
normal31845816012870141195297366405
finger).3624581601283977147218280334381416
Examination10656248012694164233351388467537584623693771
of18706248012670117
the20226248012647125187
heart22436248012678140210273320
and25966248012671149227
major285962480126117186233303366
blood32606248012678116185255333
vessels36296248012670132186240303342396
area.40596248012670133195264301
Precordial10656489012686148210272342405484521591630
area17296489012671133196265
inspection:20296489012639117171249311373420459528607654
Objectives103167260128101171210272335374412483545599
of16646726012870117
the18166726012839109172
examination20236726012863132195303340410473512551621692
(criteria):27516726012847109155194232295342380442490528
12116978012865
the13916978012839110172
presence15976978012870117180233296365428490
of21216978012870117
deformations22736978012871132179249295404465504543614683737
in30466978012839108
the31906978012839108171
precordial33966978012870116178241310357426465528566
area;39986978012862109171232271
12117229012865
the13917229012839110172
properties15977229012870117187257319366405443506559
of21927229012870117
the23447229012838109170
apex25497229012863132194263
beat28487229012870132195233
(localization,3117722901284684155217278318356419481519558628698732
area38847229012862109171234
and41537229012862132202
height);43907229012871132171241311350397435
12117481012865
pathologic13917481012870133172242311351420490529592
pulsations20177481012870140179233296334373443513568
in26197481012839109
the27647481012839109171
heart29697481012870133195242280
area32857481012862109171232
and35527481012864134204
large37927481012837100147216278
vessels.41067481012870131186240303341396431