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Author:Message
nimit

Total Posts: 7



Posted: Sun Oct 05, 2008 06:07 pm

pls reply.
superbdoc

Total Posts: 273



Posted: Mon Oct 06, 2008 12:45 am

Seen in air embolism: Sound like squelching in "Water-filled gumboots".
superbdoc

Total Posts: 273



Posted: Mon Oct 06, 2008 12:57 am

Sudden occurrence of unexplained cardiopulmonary dysfunction with neurological findings during or soon after a surgical procedure should suggest possibility of venous air embolism leading to paradoxical emboli.

A "millwheel murmur"- churning murmur over L sternal border indicates a massive air embolism. When a millwheel murmur is heard, cardiovascular collapse is imminent.

Very Happy
jemzcal

Total Posts: 127



Posted: Mon Oct 06, 2008 03:27 am

also known as waterwheel murmur

Smile
indent

Total Posts: 54



Posted: Tue Oct 07, 2008 05:14 am

Gradations of Murmurs
1. Grade 1 - Very faint, may not be heard in all positions.
2. Grade 2 - Quiet, but heard immediately after placing the stethoscope on the chest.
3. Grade 3 - Moderately loud.
4. Grade 4 - Loud, with palpable thrill
5. Grade 5 - Very loud, with thrill (May be heard when stethoscope is partly off the chest).
6. Grade 6 - Very loud, with thrill. May be heard with stethoscope entirely off the chest.
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