182
5354147819011156112
1.1205596012870106
In13465960128118188
aortic1570596012869138185223263325
valve1931596012875138176246308
insufficiency2275596012845115169240287333370433472534604667737
over3046596012877146209256
large3337596012845107154223286
arteries3658596012869116154216262301364418
(femoral),4111596012854101163272340387450489536571
instead4717596012845114169208270332402
of5155596012875123
one5313596012875146209
first85183901284786133188226
sound,1113839012855126195265335371
two1519839012841143211
sounds1765839012857128198269338393
are2194839012864111172
heard,2401839012872135196243313349
known2785839012871140211313381
as3202839012864119
Traube's3358839012886132195265335397423476
double3869839012873142212283321384
tone.4288839012840110180243278
Its460183901284887141
occurrence4778839012872134196265313359422491554616
is542883901284094
due8511080012870141203
to10891080012839108
regurgitation12331080012846109179248295365403442505543583652722
of19901080012871116
blood21421080012870109179248319
from2496108001284794163272
the28011080012839109172
aorta30091080012862132179217279
into33231080012839109148218
the35761080012839108171
left37821080012839101147186
ventricle40021080012871133202242289327390428489
during45271080012870140187226295366
diastole.49271080012870109171226264334373436471
2.12051321012870106
When134613210128204272335405
pressing178713210128101148211264318358427497
the23191321012870140203
stethoscope25571321012884122185224294363418480550620683
on327513210128100170
the34811321012869138201
femoral37171321012878140248316363425464
artery,42171321012893140179242289359392
instead46441321012870140195234297358428
of510713210128101148
one529013210128100170232
systolic8511563012855125178217288327366429
murmur,131815630128109177224334401449484
two18371563012842144213
may209015630128109169241
be23641563012873136
heard25351563012874136199245316
–28891563012872
in29971563012843112
systole31451563012858128181221290330391
and35721563012865135205
diastole38121563012874112175229268338376439
–42861563012875
a43971563012865
double44981563012872142212282321384
murmur492015630128109177224334401449
of54041563012873120
Vinogradov-Durazier.8511805012810114021028035139845952959966971681888793599610581097115912061240
3.12052046012870106
If134620460128118165
a15462046012876
murmur167220460128109177224333401448
is21552046012853108
heard22992046012883145208253324
over26572046012884154217263
any29552046012876146217
artery32052046012876123162224271341
without359320460128101140179250320390429
pressing,40572046012883130193246300340409480515
this46062046012853123162216
is48582046012851105
a49992046012875
sign51092046012869107178248
of53922046012883129
sharp8512288012855125188234304
narrowing11892288012875137183230299401440509580
of18032288012875122
the19592288012844113175
artery:21692288012867114151214261331368
atherosclerosis,25732288012867106175238285354408471509571618687741781835870
congenital34782288012867136206276339408446486548587
anomaly,40992288012867137207316376415486519
or46532288012875122
compression48102288012867136245313360423477533571642711
from851252901284794164273
the11572529012839109172
outside.13652529012870139179233272342404440
Auscultation120527710128101171226289358397436499536576646716
points19572771012870139179248287342
for23342771012847116163
arteries:25322771012862109147210256294357412450
•12053012012849
Renal128930120128222284355417455
arteries178030120128152198237299346385447501
–231730120128161
with251430120128189228267337
narrowing,288730120128159222269316385487525595664700
renovascular362230120128136198267338408470524587656695758804
or446130120128159207
renal470330120128136198268330368
artery510730120128152198237300346416
hypertension8513254012870141209272319358421490545583653723
develops.16103254012889152221284323392462516551
A219732540128121
systolic23523254012875145198238308348386449
murmur283632540128129197244355422470
is33413254012859114
heard34903254012890152214261330
along38563254012882121191261331
the42233254012858128191
edge44493254012881151221284
of47683254012890137
the49403254012858129192
rectus51673254012867128190229299353
abdominis8513495012862133202273382419490529583
muscle147034950128109177232294333396
at19013495012863100
the20373495012839108171
level22433495012839100171233271
of25503495012870116
the27013495012839108171
navel.29073495012870132202265303339
•12053737012849
The128937370128214284347
celiac16713737012876137176215278340
artery20453737012876123161224270340
is24193737012853108
heard25613737012883146208255324
slightly29213737012867106145215286324362433
lower33873737012853124226287334
and37553737012878149218
to40093737012852122
the41663737012853122185
right43853737012861100169239278
of46983737012884130
the48633737012852123185
xiphoid50833737012884122192263332371441
process.8513979012870117188249312366420456
•12054220012849
Normally,128942200128230299347456516555594665698
no20224220012876146
tones22044220012844115185247301
or25404220012876122
murmurs270442200128110177225335403450504
are32444220012868115177
heard34564220012875138200246316
over38074220012875146207254
veins.40964220012876138177246302337
In44684220012852121
severe46254220012860122192254300363
anemias,50234220012867137200309346408463499
due8514461012870141203
to10894461012861131
the12554461012861130193
sudden14834461012876146216286349418
thinning19364461012860131169240310349419488
of24604461012891139
the26344461012860130192
blood,28614461012892131201271341377
a32714461012884
murmur339044610128132199247357425472
of38974461012893140
a40724461012885
wolf419144610128123193231279
is45044461012861115
heard46554461012891154216263332
over50234461012891162223270
the53284461012860131193
jugular8514702012839109179249288351397
veins.12834702012870132171241295331