Ok, the "APE to Man" thing, please help!?

Nursing Students Student Assist

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Specializes in LTC.

Could anyone help me identify landmarks on where the sounds of S1 and all that are heard and which side, what location is aortic, pulmonic, tricuspid, mitral valves. Where the apex is, where PMI is? I've been looking in books for a diagram and picture and can't find one.

Please help:o

I remember in AP II while studying the heart I googled heart anatomy and there are some awesome sites!!! You will find all kinds of info. and even get to listen to sounds of heart and lung ausculation. I'll look right now and get back to ya

http://www.cardioconsult.com/Anatomy/ Is only one of so many when google-heart anatomy. And if click on the images from googling heart anatomy, so many cool images, diagrams-have fun!!!

  1. Oxygen-poor blood (shown in blue) flows from the body into the right atrium.
  2. Blood flows through the right atrium into the right ventricle.
  3. The right ventricle pumps the blood to the lungs, where the blood releases waste gases and picks up oxygen.
  4. The newly oxygen-rich blood (shown in red) returns to the heart and enters the left atrium.
  5. Blood flows through the left atrium into the left ventricle.
  6. The left ventricle pumps the oxygen-rich blood to all parts of the body.

heart_anatomy.gif

A P T M:

The aortic valve is located at the right 2nd intercostal mid sternum (next to breast bone).

The Pulmonic is located at the left 2nd intercostal mid sternum (next to breast bone).

The tricuspid is located at the left 4th intercostal space (next to breast bone).

The mitral (aka Apex) is located at the left 5th mid clavicular intercostal space (look at mid clavical area) but of course is measured at the 5th intercostal space.

You can hear the S1 and S2 sounds at the 4th and 5th left intercostal space and easier to hear if the patient is lying on their left side.

Keep in mind that if a patient has cardiomegaly from heart damage, the apex may be heard more laterally towards the side.

Specializes in LTC.

Ok so is this as if I am FACING the client or not?

Thank you very much for the responses.

anatomically speaking from my post, this is as if YOU are the patient. So as a nurse you would look at the patient and know that the aortic valve is on YOUR left.;)

Specializes in LTC.

Thank you, I was driving myself nuts trying to figure it out!:lol2::bugeyes:

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