Cardio Examination Flashcards
Radial pulse
Rate and rhythm
Radio-radio delay
Radio-femoral delay
Collapsing
Chest palpation
Apex beat
locate the beat
Parasternal heaves
Thrills at 2nd parasternal ICS
Face
Anaemia
Xanthelasma
Corneal arcus
Central cyanosis
Dental care
High arched palate
Mucus membranes
Malar flush
Chest inspection
Symmetry Pectus excavatum Pectus carineum Scars Distended veins Pacemaker Click of valve
Further tests
Obs
Peripheral vascular examination
ECG
Urine dip
Neck
JVP height and waveform
Carotid pulse- volume and character
Back
Pulmonary oedema
Sacral oedema
Chest Auscultation
Apex Locate Roll on L side Hold on expiration Listen to axilla
Tricuspid
4th ICS, L sternal edge
Pulmonary
2nd ICS, L sternal edge
Aortic 2nd ICS, R sternal edge Lean forward and accentuate Hold in expiration Radiation to carotids
Hands
Clubbing Splinter haemorrhages Oslers nodes Janeway lesions Tendon Xanthoma Cap refill Tar staining
Arm
Brachial pulse
BP
Collapsing pulse
Finishing
Peripheral oedema
Corneal arcus
If under 60, suggests hyperlipidaemia
If over 60, can be normal
Find cause of high lipid: Primary/Secondary (liver, kidney, thyroid disease)
Corneal arcus
If under 60, suggests hyperlipidaemia
If over 60, can be normal
Find cause of high lipid: Primary/Secondary (liver, kidney, thyroid disease)
Corneal arcus
If under 60, suggests hyperlipidaemia
If over 60, can be normal
Find cause of high lipid: Primary/Secondary (liver, kidney, thyroid disease)
