Cardiovascular Exam *Dr. Johnston* Flashcards
IPPA
inspection, palpation, percussion, auscultation
NORMAL HEART
Five Finger Method
- History
- Physical
- ECG
- X-Ray
- Lab Tests
People with hypothyroid and hypertertension are prone to…
Hyperlipidemia
_____ ,the furthermost point outwards (laterally) and downwards (inferiorly) from the sternum at which the cardiac impulse can be felt.
point of maximum impulse (PMI)
pale, anemia, shock
Pallor
turbulent blood flow causing murmurs
Thrills
gently lifts palpating fingers
Apex beat
Apex
5th ICS, left, 1 cm. Medial to MCL
Point of maximum intensity (PMI)
Mitral and tricuspid closure
Beginning of ventricular systole
S1
Aortic and pulmonic closure
Marks end of systole, beginning of diastole
S2
How do you want to start percussion?
Start laterally and move medially.
Starts hyper resonnant due to air and then duller due to tissue.
Sound @ 2nd ICS to the R of sternum
Aortic V.
Pulmonic valve sound location
2nd ICS L of sternum
4th ICS at LSB
Tricuspid valve
Mitral
Apex of heart
5th Left ICS at mid - clavicular line
Sound at beginning of systole
S1 sound. Mitral valve closes first and then Tricuspid valve.
Loudest at apex.
Sound at the end of systole
S2 sound, aortic valve closes first and then the pulmonic valve.
It’s loudest at the base of the heart.
S3 gallop
Blood hitting the heart septum. In adults it can be heart failure.
S4
Thought to be atrial contraction.
Systolic murmurs occur between __ and __.
S1 and S2.
Diastolic murmurs occur between __ and __.
S2 and S1.
Cardiac Output Formula
CO = SV x HR
Volume of blood ejected per beat formula
End Diastolic Volume - End Systolic Volume
Preload
End Diastolic Volume
