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Z Year3 Clinical Examinations > Cardio Exam Order > Flashcards

Cardio Exam Order Flashcards

1
Q

What are the 11 steps for the resp exam?

A
  1. Introduction
  2. Position and exposure
  3. General Inspection
  4. Hands and arms
  5. Face
  6. Neck
  7. Chest inspection
  8. Chest palpation
  9. Chest auscultation
  10. Other
  11. End
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2
Q

What do you do in the introduction?

A
  1. Checks patients name and states role
  2. Obtains consent for examination
  3. Washes hands
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3
Q

What is position and exposure?

A
  1. Couch at 45 degree angle

2. Appropriate exposure

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4
Q

What do you do in general inspection?

A
  1. End of bed (mentions at least 2)

2. Resp rate

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5
Q

What are things to look for at end of bed?

A
  1. ECG leads
  2. Anaemia, scars
  3. Visible pulsations
  4. Medical paraphernalia, syndrome features
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6
Q

What is in the hands and arms section?

A
  1. Inspection of hands (mentions 2)
  2. Mentions or asses CO2 retention flap (need to do fro 30 seconds to say not present)
  3. radial pulse
  4. blood pressure
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7
Q

What things can you mention on the hands?

A
  1. Clubbing
  2. Splinter haemorrhages
  3. Osler nodes
  4. Janeway lesions
  5. Peripheral cyanosis
  6. Tendon xanthomas
  7. Perfusion of hands
  8. Cap refill
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8
Q

What comment should you make about the radial pulse?

A

bounding? radial-radial delay? collapsing pulse?

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9
Q

What do you look for in the face?

A
  1. Inspect eyes

2. Inspect mouth

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10
Q

What are you looking for in the eyes?

A
  1. Malar flush
  2. Xanthelasma
  3. Corneal arcus
  4. Anaemia
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11
Q

What are you looking for in the mouth?

A
  1. central cyanosis
  2. hydration
  3. high arched palate
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12
Q

What do you look for on the neck?

A
  1. JVP

2. Assess carotids

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13
Q

What must you rember with JVP?

A

demonstrates hepatojugular reflex or palpates internal jugular vein

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14
Q

What do you do with chest inspection?

A

closer inspection for scars (including axilla)

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15
Q

What do you do in chest palpation?

A
  1. Palpation of the apex beat (must check location as well)

2. Palpation for heaves and thrills

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16
Q

What do you look for in chest auscultation?

A
  1. Auscultation of mitral, tricuspid, pulmonary and aortic region
  2. Listens for radiation at carotids and axilla
  3. Listens at lung bases for signs of pulmonary oedema
17
Q

What do you do in other?

A
  1. Check for sacral/ankle oedema

2. Appropriate summary with additional things they would do to complete examination

18
Q

How would you complete the cardio examination?

A
  1. Check for peripheral stigmata of cardiovascular disease
  2. Check fundi
  3. Abdominal examination to check for AAA
  4. Urine dip
  5. BP and ECG
19
Q

How do you end the exam?

A
  1. Thanks patient, helps cover up

2. Washes hands

Z Year3 Clinical Examinations (33 decks)

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