Chromosomes are NOT visibly divided into chromatids (think âchromosome kidsâ) until metaphase ;3. Twisting and crossing over are NOT to be shown here. E. PROCEDURE: Do all the following from memory and understanding so far; think of each stage as a frame in amovie film of the process:1.
Distant heart sounds. Introduction. Doctors with a stethoscope heart auscultation if the first heart sound and the second heart sound are weak, heavy cloud, blurred distant sense of those who, for the heart sound far away. Patients are often forced to take semi-recumbent, sitting forward, if supine is the heart sounds more distant. Tuberculous, cancerous, suppurative, rheumatic and some connective tissue diseases caused by pericardial effusion may cause heart sounds distant. Heart sounds far from some patients with chest pain, shortness of breath, difficulty breathing, shallow breathing, cyanosis, poor pulse pressure, congestive splenomegaly and other symptoms.
Other causes of abnormal heart murmurs include infections and conditions that damage the structures of the heart and are more common in older children or adults. For example: 1  Valve calcification. 2  This hardening or thickening of valves, as in mitral stenosis or aortic valve stenosis, can occur as you age.