Cardiac Examination Flashcards
1
Q
General Inspection
A
Oxygen, medications General health and wellbeing - dysmorphic features Ability to speak comfortably Obvious peripheral / central cyanosis PEWS
2
Q
Hands
A
Clubbing
Cannula sites
Peripheral perfusion and cyanosis
3
Q
Inspection
A
Scars - chest drain, midline sternotomy, PDA scars
RR
Central lines
4
Q
Palpation
A
CAPILLARY REFILL
Thrills, heaves, apex beat (5th intercostal space midclavicular line, in younger children 4th intercostal space)
5
Q
Grading Murmurs
A
1: very soft
2: heard easily
3: loud murmur - no thrill
4: loud murmur - thrill
5: very loud murmur - thrill
6: very loud murmur, thrill, can hear with stethoscope
6
Q
Also….
A
Femoral pulse Palpate liver edge Lung bases Oedema in flank (baby) / ankle Plot weight and height
7
Q
Neonatal murmur
A
PDA (normally closes by 48 hours post delivery) Other structural heart disease Innocent murmur (produced by normal blood flow through the heart)
