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Layers of the heart Epicardium: outer layer, contains blood vessels; Myocardium: middle
layer; Endocardium: innermost layer, contains heart chambers, valves, nerves, and vessels;
Pericardium: a sac of fluid that surrounds the heart and protects it
Hypotension Low BP
Hypertension High BP
Orthostatic hypotension BP that lowers upon exertion
Risk factors of hypertension Obesity, high sodium diet, excessive alcohol consumption,
diabetes, smoking, chronic kidney disease, high cholesterol, and chronic stress
Stable angina Pain that occurs during physical activity or stress but not during rest
Unstable angina Pain that occurs during physical activity, stress, and rest. It does not go
away
Cause of angina Reduced blood flow to the heart
Assessment of carotid arteries Palpate and count beats per minute, ultrasound, or CT scan if
needed
Bruit A turbulent blood flow that can indicate plaque buildup or narrowing in the artery
, Quadrants of the abdomen Right Upper Quadrant (RUQ): liver, gallbladder, duodenum, and
pancreas; Left Upper Quadrant (LUQ): stomach and spleen; Left Lower Quadrant (LLQ):
descending colon, transverse colon, sigmoid colon, and rectum; Right Lower Quadrant (RLQ):
large intestine, small intestine, and appendix
Perfusion of lower extremities Cap refill test
Pectus Carinatum Pigeon chest
Pectus Excavatum Funnel chest
S1 First heart sound: closure of the mitral and tricuspid valves
S2 Second heart sound: closure of the aortic and pulmonary valves
Melena Black tarry stool
Steatorrhea Fat in your stool
Jaundice A condition that causes the skin and whites (sclera) of the eyes to turn yellow
Cause of jaundice Hepatitis, cirrhosis, gallstones, and other liver diseases
Appendicitis When the appendix becomes inflamed, swollen, or infected