CLINICAL SKILLS S5 OSCE - AORTIC STENOSIS Flashcards by Naseem Essa | Brainscape

Q

Aortic stenosis inspection

A

Acutely ill, respiratory distress (LHF)
Surgical scars, apical pulsation

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Q

Aortic stenosis palpation

A

Brachial pulse (tachycardia, regular rhythm, low volume, anacrotic)
Apex beat (pressure-loaded, hyperdynamic)
Thrills and heaves (RSB thrill, heave due to pressure-load)

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Q

Aortic stenosis auscultation

A

Time with carotids
Normal position, diaphragm + bell, S1+S2+S4, crescendo decrescendo systolic
Bell at carotid (radiation)
Lean forward, exhale (ejection systolic @ RSB)
Lung bases, inspire (crackles)

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