Cardiovascular examination

Question 1

Key questions in history

Answer 1

Medical conditions associated with heart disease
Breathlessness
Exercise->limited by SOB, palpitations, chest pain.
Colour change->cyanosis, pale, sweaty, poor perfusion
Growth->feeding problems, poor weight gain
Syncope->collapse w/ exercise, unexplained, palpitations
Murmurs->previously noted murmur
Family history->CHD, sudden death in young people

Question 2

Observation

Answer 2

Cyanosis
Breathless, pale, sweaty
Clubbing
Failure to thrive

Question 3

Circulation

Answer 3

BP

CRT

Question 4

Pulse

Answer 4

Rate
Rhythm
Volume
Character
Always check femoral pulses

Question 5

What is a collapsing pulse most commonly associated with

Answer 5

PDA

Question 6

What does a slow rising pulse suggest

Answer 6

Outflow tract obstruction

Question 7

Palpation

Answer 7

Apex
RV heave
Thrills
Hepatomegaly

Question 8

Auscultation

Answer 8

Listen at front and back

Normal, increased, fixed and split, added sound

Question 9

Normal pulse rate 12

Answer 9

110-160
95-140
80-120
60-100

Question 10

Normal BP 12

Answer 10

70-90
80-95
80-100
90-110
100-120