Cardiovascular Examination

Question 1

What do you see in CVS examination from end of bed?

Answer 1

• ECGs
• GTN
• Scars e.g. throacotomy, sternotomy,
• pacemaker

Question 2

What do you see in CVS examination in the hands?

Answer 2

• Clubbing

- ?infective endocarditis signs e.g. splinter haemorrhages, janeway lesions, oslers nodes

Question 3

What do you see in the face on CVS examination?

Answer 3

malor flush (mitral stenosis, co2 retention –> vasodilation)

Question 4

What do you see in the eyes on CVS examination?

Answer 4

xanthelasma
corneal arcus
anaemia (conjunctival pallor)

Question 5

What do you see in the mouth on CVS examination?

Answer 5

Central cyanosis
dental hygiene
dehydration

Question 6

What is RILE in CVS?

Answer 6

RI = right sided murmurs are heard better on INSPIRATION e.g. inspiration increases venous return
LE = left sided murmurs are heard better on EXPIRATION so all CVS exam exacerbating movement checks e.g. mitral and aortic are louder on EXPIRATION