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Videoda bir uzman, bir hastaya muayene yaparken izleyicilere teknikleri detaylı şekilde anlatmaktadır.","Video, kardiyovasküler muayenenin tüm aşamalarını kapsamaktadır. Önce hastanın genel görünümü, göğüs ve bacaklarındaki yaralar, el ve ayaklardaki değişiklikler incelenmekte, ardından kollar, boyun, gözler ve ağız muayenesi yapılmaktadır. Daha sonra palpasyon (palpasyon) ve auscultasyon (dinleme) teknikleri gösterilmekte, özellikle kolapsing pulse, jvp (jugular venöz basınç) ve kalp valflerinin (mitral, tricuspid, pulmoner ve aortic) muayenesi anlatılmaktadır.","Videoda ayrıca mitral ve aortic valvüler patolojileri tespit etmek için kullanılan manevra, kolaps eden nabzı tespit etme ve JVP ölçümü gibi özel teknikler de detaylı şekilde gösterilmektedir. Muayene tamamlandıktan sonra kan basıncı, sıcaklık, pulse rate ve idrar dipstick gibi ek kontrollerin yapılması gerektiği belirtilmektedir."]},"endTime":1806,"title":"Kardiyovasküler Kalp Muayenesi Eğitim Videosu","beginTime":0}],"fullResult":[{"index":0,"title":"Kalp Muayenesi Hazırlığı","list":{"type":"unordered","items":["Muayene sırasında hasta tamamen açıkta olmalı ve genellikle bir çarşafla örtülmelidir, ancak bu durumda özel bir durum olduğu için bu gereklilikten muaf tutulabilir.","Muayene öncesi hasta üzerinde herhangi bir anormalite, ekipman veya ilaç olup olmadığı gözlemlenmelidir.","Hasta üzerinde bir göğüs yarası bulunması, bir ameliyat veya değiştirme işlemi yapıldığını gösterir."]},"beginTime":0,"endTime":40,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=0&ask_summarization=1"},{"index":1,"title":"Fiziksel İnceleme","list":{"type":"unordered","items":["Hasta bacaklarında yara bulunmaması, bypass ameliyatı veya damar toplama işlemi yapılmadığını gösterir.","Ellerde tırnak değişiklikleri ve enfeksiyonlar için inceleme yapılmalıdır.","Pulsların düzenli ve normal hacimli olup olmadığı kontrol edilmelidir."]},"beginTime":40,"endTime":94,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=40&ask_summarization=1"},{"index":2,"title":"Kollaps Puls Testi","list":{"type":"unordered","items":["Kollaps puls testi, nabzın hacminin daha belirgin hale gelip gelmediğini kontrol etmek için yapılır.","Test sırasında hasta kolunu kaldırması istenir ve nabzın hacminin daha belirgin hale gelip gelmediği gözlemlenir.","Bu test, hastanın yüksek hemodinamik dolaşım olup olmadığını gösterir."]},"beginTime":94,"endTime":141,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=94&ask_summarization=1"},{"index":3,"title":"Boyun ve Karotid Puls İncelemesi","list":{"type":"unordered","items":["Boyun üzerindeki damarlar incelenerek yüksek jvp (jugular venöz basıncı) olup olmadığı kontrol edilir.","Karotid puls, merkezi bir puls olarak incelenir ve düzenli ve normal hacimli olup olmadığı kontrol edilir.","Aortik stenoz gibi valvüler hastalıkları tespit etmek için bu puls incelenir."]},"beginTime":141,"endTime":191,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=141&ask_summarization=1"},{"index":4,"title":"Göz ve Ağız İncelemesi","list":{"type":"unordered","items":["Gözlerde jaundice (sarılık) ve anemi (kan eksikliği) için inceleme yapılır.","Ağız ve dil incelenerek kardiyovasküler hastalık belirtileri tespit edilir.","Hasta ileri doğru eğilerek göğüs üzerindeki diğer yaralar kontrol edilir."]},"beginTime":191,"endTime":244,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=191&ask_summarization=1"},{"index":5,"title":"Göğüs Palpasyonu","list":{"type":"unordered","items":["Göğüs palpasyonu, kalp anormalliklerini tespit etmek için yapılır.","Palpasyon sırasında dört köşe, alt göğüs, sol ve sağ sternal kenar, aorta ve pulmoner alanlar incelenir.","Palpasyon sırasında thrills (titreme) ve heaves (kabarcık) tespit edilir."]},"beginTime":244,"endTime":280,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=244&ask_summarization=1"},{"index":6,"title":"Auscultasyon","list":{"type":"unordered","items":["Auscultasyon sırasında önce apex (en üst nokta) incelenir.","Mitral, tricuspid, pulmoner ve aorta pulsları sırasıyla incelenir.","Hastanın pozisyonunu değiştirerek (dönmek, oturmak) belirli pulsların daha iyi tespit edilmesi sağlanabilir."]},"beginTime":280,"endTime":412,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=280&ask_summarization=1"},{"index":7,"title":"Muayenenin Tamamlanması","list":{"type":"unordered","items":["Muayene sırasında hastanın göğüs yarası ve doku pulmoner valf replasmanı tespit edilmiştir.","Muayenenin tamamlanması için kan basıncı, sıcaklık ve puls hızı kontrol edilmelidir.","Ürin dipstick testi ve gerekirse EKG ve O2 seviyesi ölçümü de muayene kapsamında olabilir."]},"beginTime":412,"endTime":605,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=412&ask_summarization=1"},{"index":8,"title":"Kalp Muayenesi Başlangıcı","list":{"type":"unordered","items":["Carotid nabzı hissedilerek düzenli ve iyi hacimli olup olmadığı kontrol edilir, ayrıca valvüler hastalıklarla ilişkili anormallikler (örneğin aortic stenosis) değerlendirilir.","Hastanın gözlüklerini çıkarması istenir ve yukarı-aşağı hareket ettirilerek jaundice ve anemi belirtileri kontrol edilir.","Hastanın dilini çıkarması istenir ve mukoza üzerinden kardiyovasküler hastalık belirtileri incelenir."]},"beginTime":623,"endTime":667,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=623&ask_summarization=1"},{"index":9,"title":"Göğüs İncelemesi","list":{"type":"unordered","items":["Hastanın öne eğilmesi istenir ve göğüs üzerindeki tüm yaralar kontrol edilir, özellikle önceki kalp ameliyatlarıyla ilgili yaralar önemlidir.","Palpasyon yöntemiyle göğüs üzerinde dört köşe, apex, sol ve sağ sternal kenar, aorta ve pulmoner alanlar incelenir.","Palpasyon sırasında thrills ve heaves gibi anormallikler tespit edilebilir."]},"beginTime":667,"endTime":733,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=667&ask_summarization=1"},{"index":10,"title":"Auscultasyon","list":{"type":"unordered","items":["Auscultasyon sırasında önce apex'ten başlanır ve her bölgede yaklaşık on saniye dinlenir.","Mitral, tricuspid, pulmoner ve aortic valvüler alanlar ayrı ayrı dinlenir.","Hastanın pozisyonunu değiştirerek (dönmesi veya öne eğilmesi) belirli valvüler hastalıkların belirtileri daha iyi tespit edilebilir."]},"beginTime":733,"endTime":863,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=733&ask_summarization=1"},{"index":11,"title":"Muayenenin Tamamlanması","list":{"type":"unordered","items":["Muayenenin tamamlanması için kan basıncı, sıcaklık ve nabzın kaydedilmesi gerekir.","Hastanın idrar testi yapılabilir ve gerekirse EKG alınabilir.","Hastanın göğüsündeki yara, doku palmy valve replasmanı olduğunu gösterir."]},"beginTime":863,"endTime":909,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=863&ask_summarization=1"},{"index":12,"title":"Ek İncelemeler","list":{"type":"unordered","items":["Hastanın göğüsündeki yara, kalp ameliyatı yapıldığını gösterir.","Hastanın bacaklarında yara olup olmadığı kontrol edilir, bu bypass ameliyatı için venöz hasat yapıldığını gösterir.","Ellerde tırnak değişiklikleri ve enfeksiyonlar için inceleme yapılır."]},"beginTime":909,"endTime":996,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=909&ask_summarization=1"},{"index":13,"title":"Kolpulse ve Boyun İncelemesi","list":{"type":"unordered","items":["Kolpulse testi yapılırken, kolun yukarı kaldırılmasıyla nabzın hacminin azaldığı (collapsing pulse) kontrol edilir.","Boyun damarları incelenerek yüksek jvp (jugular venous pressure) belirtileri tespit edilir.","Karotid nabzı tekrar hissedilerek düzenli ve iyi hacimli olup olmadığı kontrol edilir."]},"beginTime":996,"endTime":1293,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=996&ask_summarization=1"},{"index":14,"title":"Kalp Muayenesi Öncesi Hazırlık","list":{"type":"unordered","items":["Hastaya derin nefes alıp vermesini ve tutmasını isteyerek aorta regurgitasyonunun murmuru aksanize edilebilir.","Muayene sırasında hastanın göğüsünde bir yara olduğu ve doku palmiy valf replasmanı yapıldığı tespit edilmiştir.","Muayenenin tamamlanması için kan basıncı, sıcaklık, nabz hızı ve idrar dipsticki kontrolü yapılmalıdır."]},"beginTime":1295,"endTime":1361,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=1295&ask_summarization=1"},{"index":15,"title":"Genel Görünüm ve Fiziksel İnceleme","list":{"type":"unordered","items":["Normal bir muayenede hasta tamamen açıkta olmalı, ancak bu durumda hastanın göğüsünde yara olduğu için bu gereklilik uygulanmamıştır.","Hastanın bacaklarında yara olmadığı kontrol edilerek bypass ameliyatı yapılmadığı belirlenmiştir.","Ellerde tırnak değişiklikleri ve enfeksiyonlar için inceleme yapılmış, nabzın düzenli ve normal hacimli olduğu tespit edilmiştir."]},"beginTime":1361,"endTime":1449,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=1361&ask_summarization=1"},{"index":16,"title":"Kollaps Eden Nabz Testi","list":{"type":"unordered","items":["Kollaps eden nabz testi için hasta kollarını kaldırıp, nabzın hacminin daha az olduğu gözlemlenmiştir.","Bu test, hastanın yüksek hemodinamik dolaşımına işaret edebilir, ancak bu hastada böyle bir durum tespit edilmemiştir.","Boyun damarları incelenerek yüksek jvp (jugular venous pressure) olup olmadığı kontrol edilmiştir."]},"beginTime":1449,"endTime":1524,"href":"/video/preview/15203375757239986681?parent-reqid=1769447800247952-17182276675445816988-balancer-l7leveler-kubr-yp-vla-247-BAL&text=Video+Doctor&t=1449&ask_summarization=1"},{"index":17,"title":"Karotid Nabz ve Göz İncelemesi","list":{"type":"unordered","items":["Karotid nabzı incelenerek düzenli ve normal hacimli olduğu tespit edilmiştir.","Hastanın gözlerinde jaundice ve anemi için inceleme yapılmış, ayrıca dilinin çatısında da benzer belirtiler aranmıştır.","Hastanın göğüsünde sağ torakotomi yarası olduğu ve bu yaranın kalp ameliyatıyla ilgili olabileceği 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