The patient is a 20-year-old man who presents to a medical clinic for a routine physical required before he enlists in the army. his family history is significant for 2 relatives who had sudden cardiac arrest in their late 20's or early 30's. he does not know any more details about these relatives or their medical history. his review of systems is negative with the exception of rare episodes of heart palpitations. what is the most likely finding on the patient's cardiac examination if he has hypertrophic cardiomyopathy? a soft heart sounds and an s3 gallopb brisk heart sounds and an s4 gallopc early diastolic pericardial knockd s4 gallop and no murmure 3 component friction rub

the most likely finding on the patient´s cardiac examination if he has hypertrophic cardiomyopathy is B. brisk heart sounds and s4 gallop

Explanation:

The hypertrophic Left Ventricle (VI) is very distensible and its relaxation may take longer or be incomplete. To maintain cardiac output (GC) it is necessary to increase the sympathetic system: stronger heart contractions and increased heart rate, but all these compensatory mechanisms only work as temporary adaptation, if they are maintained over time they will otherwise generate harmful effects .

To achieve the filling of the Left Ventricle, higher than normal venous pressures are necessary, which leads to the atrial dilate and this situation predisposes the patient to pulmonary venous hypertension or edema.

In addition, a displacement of the mitral valve against the hypertrophic septum is generated, at the beginning of the systole the speed of blood passage through the stenosis is increased in the left ventricular outflow tract creating turbulence which results in a blew it. Finally, an increase in the left intraventricular pressure is generated, which generates an increase in myocardial wall stress and oxygen demand.

answer:

to with mild choking in an adult or child over 1 year old: encourage them to keep coughing to try to clear the blockage. ask them to try to spit out the object if it's in their mouth. don't put your fingers in their mouth to them as they may bite you accidentally.

explanation:

answer: no, they are not.*

although rubber bands that contain excessive amounts of dye, toxins, or additives are sometimes toxic, most rubber bands do not cause any health issues. since they are typically made of latex, (a natural substance that is extracted from trees) they are not dangerous in any way if you chew them or accidentally ingest a piece of rubber band. however, chewing rubber bands does pose a choking hazard and is not a good habit to have.

*depending on the type of rubber band. the typical rubber bands that you see at stores are not toxic, but other types of rubber or latex that contains certain chemicals may be unhealthy and hazardous.