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.
Heart murmurs are extra and abnormal heart sounds that may be an indication of a problem in the cardiac cycle. Murmurs sound like clicks, knocks, snaps or whooshing. The four normal heart sounds are a consequence of vibration of the flow of blood and closure of the heart valves. Similarly heart murmurs are a result of vibration caused by turbulent flow or abnormal closure of the heart valves. A murmur is not always an indication of a problem though and most are benign or innocent murmurs.