Cardiac Examination Flashcards
No.1
“I’m just going to start by examining you from the end of the bed”
After general inspection?
“Can you put your hands out for me”
- Temperature
- Flip them over
- Feel them
After looking at the volar aspect of the hands?
Cap refill
After cap refill
Clubbing
“Put your fingernails together”
After clubbing?
Radial pulse
After radial pulse?
Radio-radial delay
After radio-radial delay?
“You don’t have any pain in your shoulder at the moment do you? Okay I’m just going to raise your arm while I’m taking your pulse”
After water-hammer pulse?
Brachial pulse
After brachial pulse?
Carotid pulse
“I’m just going to feel the pulse in your neck now. Let me know if it’s uncomfortable”
After carotid pulse?
JVP
+ Hepatojugular reflux
After JVP?
Eyes
“Look straight ahead for me and pull your eyelids down”
After eyes?
Mouth
“Open your mouth for me. Touch the roof of your mouth with you tongue”
After mouth?
Get them to take their top off and inspect chest. Remember to make them move their arms up.
After inspection of chest?
Palpate apex beat; parasternal heave; thrills in each valvular area
After palpation?
Auscultation of valvular areas
“I’m just going to listen to your chest now whilst feeling the pulse in your neck”
