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翻訳と辞書　辞書検索 [ 開発暫定版 ] スポンサード リンク Means–Lerman scratch ： ウィキペディア英語版 Means–Lerman scratch The Means–Lerman scratch is an uncommon type of heart murmur which occurs in patients with hyperthyroidism. It is a mid-systolic scratching sound best heard over the upper part of the sternum or second left intercostal space at the end of expiration. The murmur results from the rubbing of the pericardium against the pleura in the context of hyperdynamic circulation and tachycardia,〔(''Recognizing Thyroid Storm in the Neurologically Impaired Patient: Pathophysiology'' ) at Medscape〕 and may mimic the sound of a pericardial rub. The sign was described by J. Lerman M.D. and J. H. Means M.D. of Massachusetts General Hospital in 1932. == References == 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Means–Lerman scratch」の詳細全文を読む スポンサード リンク 翻訳と辞書 : 翻訳のためのインターネットリソース Copyright(C) kotoba.ne.jp 1997-2016. All Rights Reserved.