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If you hear a bruits what should the next step in your assessment be

User Darnmason
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Final answer:

Upon hearing a bruit, further assessment to identify the cause is necessary, which might involve additional diagnostic tests like ultrasounds or angiography.

Step-by-step explanation:

If you hear a bruit during a physical examination, this indicates turbulent blood flow, usually due to a narrowed blood vessel. After detecting a bruit, the next step in your assessment would be to identify the underlying cause, which could be due to various conditions such as atherosclerosis or an arterial aneurysm. Further diagnostic tests, such as ultrasound or angiography, might be necessary to determine the exact etiology and to guide appropriate management.

During blood pressure measurement, one uses a blood pressure cuff and a stethoscope to listen for Korotkoff sounds. These sounds help determine systolic and diastolic pressures. A bruit, however, is distinct from Korotkoff sounds and typically requires additional evaluation.

The simplest yet effective diagnostic technique to assess the state of a patient's heart by listening to heart sounds is called auscultation.

The clinician may need to perform additional tests or refer the patient for further evaluation, such as imaging studies or specialized consultations. These additional steps will help determine the exact cause of the bruit and guide appropriate treatment.

It is important for the clinician to thoroughly assess the patient's medical history, perform a physical examination, and consider other symptoms or risk factors to provide a comprehensive evaluation and appropriate management for the patient.