Cardiovascular Exam Flashcards
Exposes Patient…
From Waist up
Position at 45 degrees
General Inspection of Bedspace
GTN Spray
ECG Leads
O2
Mobility Aids
General Inspection of patient
Comfortable at Rest Breathing normally Pallor Cyanosis Oedema
Hands
Temperature Cap refill Splinter Haemorrhages Clubbing Colour of palms Clammy Janeway Lesions Oslers Nodes Tar Staining Xanthoma - wrists
Splinter Haemorrhages
Bacterial Endocarditis
Janeway Lesions
Bacterial Endocarditis
Oslers Nodes
Infective Endocarditis
Xanthoma
Hyperlipidaemia
Pulses
Radial
Radio-radial
Collapsing Pulse
BP
Narrow BP
Aortic Stenosis
Wide BP
Aortic regurgitation
Neck
Carotid Pulse
JVP
Face
Conjunctival pallor
Corneal Arcus
Xanthelasma
Mouth
Central cyanosis
Angular Stomatitis
High arched Palate
Dentition
Angular Stomatitis
Iron deficiency
High Arched Palate
Marfans = increase risk of Aortic dissection
Chest Inspection
Scars
Chest wall deformities
Visible pulsations
Palpate
Apex beat
Heaves
Thrills
Auscultation
palpate carotid pulse Mitral Valve Tricuspid Pulmonary Aortic Carotid artery with breathe held. Aortic area on expiration Mitral area on left roll axilla for mitral regurgitation
To Finish
Lung bases
Feel for Oedema
End Pieces
Palpate brachial and femoral pulses ECG Urine dip Fundoscopy Full peripheral vascular exam
