The echocardiogram (ultrasound of the heart) reveals that Isabelle's murmur is caused by something called a ventricular septal defect (VSD). A VSD is a hole in the interventricular septum, the wall of the muscle that separates the left ventricle from the right ventricle. The ECG shows sinus rhythm with no conduction of abnormalities.

Think about the position of the heart in the chest cavity. Isabelle's VSD is in the interventricular septum between the mitral and tricuspid valves.

At what anatomical location would the nurse practitioner best hear Isabelle's murmur?

lizards have adapted to life in the desert. some desert lizards have toes with spiny scales to them run across the sand without sinking. some use the sand to hide from predators, or to search for small animals that they prey upon.

events in order:

1.       vishnu schist

2. zoroaster granite

3. bass limestone

4. hakatar   shale

5. igneous intrusion

6. shinumo quartzite

7. dox sandstone

8. tapeats limestone

9. bright angel shale

10. muav limestone

11. temple butte limestone

12. redwall limestone  

nonconformity

answer: the unkar group shows angular unconformity because the layers are turned at angle.

unconformity

answer: specifically the angular unconformity occurs between the cambrian and precambrian rocks. the dox sandstone, shinumo quartzite, hakatar shale, and bass limestone have been filled. an angular unconformity occurs between the cambrian and precambrian rocks. the dox sandstone, shinumo quartzite, hakatar shale, and bass limestone have been filled.

disconformity

answer: the disconformities aremarked irregular lines between the sedimentaryrocks layers.