CVS clinical skills Flashcards

1
Q

What is malar flush

A

pinky purple high cheeks
mitral stenosis
Co2 retention

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2
Q

what should you look for in eyes when examining CVS

A

pallor of conjunctivae
xanthelasma
corneal arcus

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3
Q

corneal arcus in under 40

A

familial hyperlipidemia/hypercholesterolemia
dodgy
heart disease

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4
Q

hands in CVS exam

A

splinter haemorrhages
clubbing
janeway#’s lesions
Osler’s nodes
tar
tendon xanthomata
temp and perfusion

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5
Q

splinter haemhorrages

A

normally trauma but can be eg trichonosis or sub-acute bacterial endocarditis

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6
Q

Janeway lesions

A

BAD
Janeway lesions are irregular, nontender hemorrhagic macules located on the palms, soles, thenar and hypothenar eminences of the hands, and plantar surfaces of the toes. They typically last for days to weeks. They are usually seen with the acute form of bacterial endocarditis.

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7
Q

Oslers nodes. Condition?

A

Tender regular shaped nodes
sub-acute endocarditis

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8
Q

tendon xanthomata

A

cholesterol depostits on tendons
hypercholesterolaemia

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9
Q

how do you observe nutrition status

A

“body habitus is consistent with…”

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10
Q

exposure

A

shirt off and shoes and socks off

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11
Q

Observe Marfan, Turner syndrome

A

aortic dissection

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12
Q

poor dental hygiene can lead to

A

bacterial endocarditis

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13
Q

Osler nodes painful?

A

yes

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14
Q

Janeway lesions painful?

A

no

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15
Q

clubbing sign name

A

Schamroth’s window

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16
Q

heave

A

left ventricle thud against the wall

17
Q

thrill

A

murmur (regurgitation)

18
Q

What sounds with what valvulopathies

A

Mr. Ass
Ms. Ard

Mitral regurgitation, aortic stenosis systole
Mitral stenosis, aortic regurgitation diastole

19
Q

how do you conclude?

A

this is a …patient…presented with…. on examination I found…
remember walkin aids, GTN spray
conclude succinctly but thoroughly in the same order you examined

20
Q

what hands/wrists findings in resp exam

A

Nails – tar, yellow nails, clubbing
Joints – hypertrophic pulmonary osteopathy (HPOA) – ‘painful swelling’ of wrists/ankles
Palms – cyanosis, muscle wasting
Wrist – HPOA, ‘CO2 tremor’ ‘salbutamol tremor’

21
Q

what are the 4 pillars of wellness

A

temp
pulse
O2 levels
BP

22
Q

what tremor in low CO2

A

wrist flapping tremor

23
Q

neck in resp exam

A

JVP tracheal deviation lymph nodes

24
Q

mouth in resp exam

25
whilst you are at the back, looking for scars check...
lymph nodes
26
lymph nodes associated with (2)
cancer infections
27
palpate thorax for (3) resp exam
apex beat Hoover's sign expansion
28
pleural effusion sounds like on percussino
stony dullness
29
where do you percuss the lungs
intercostal spaces, not ribs
30
other tests resp examq
Temperature and peripheral oxygen saturations Peak flow Spirometry Sputum culture Chest radiograph Chest CT scan
31
what is a rub?
The pleural rub sound results from the movement of inflamed and roughened pleural surfaces against one another during movement of the chest wall. [1] This sound is non-musical and described as “grating,” “creaky,” or “the sound made by walking on fresh snow.”[2] It is often heard in the upper lung fields.
32
why do chemo pts have tb test
chemo agents can reactivate it
33
pectus carinatum is
out-pointing chest
34
pectus excavatum is
in pointing chest
35
which bit of stethoscope to auscultate apex of lungs
small one
36
which breathing signs might you see from bottom of the bed
accessory muscles stridor/cough pursed lip breathing
37
proper name for normal breath sounds
vesicular breathing
38