CVS exam Flashcards

1
Q

what does a left parasternal heave indicate

A

right ventricular hypertrophy

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2
Q

where should thrills be palpated

A

apex, upper part of praecordium and the sternal notch

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3
Q

what is the commonest cause of thrill

A

aortic stenosis

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4
Q

how do you palpate for heaves

A

place outstretched right hand just to the left of the sternum with fingers pointing towards the neck

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5
Q

how are heart murmurs graded

A

1/6 to 6/6

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6
Q

leg vascular exam

A
inspect
palpate
radiofemoral delay
3 x pulses
ankle oedema
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7
Q

abdomen

A

inspect
palpate superficial and deep for liver
percuss liver
bruits

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8
Q

extras

A

ophthalmoscopy
obs chart
urine
ECG

BP
Abdo

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9
Q

causes of clubbing

A
lung cancer
celiac disease
interstitial lung disease
heart valve disorder
lung infection (chronic suppurative disease)- CF, bronchiectasis
infective endocarditis
grave's disease
liver cirrhosis
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10
Q

CO2 retention

A

warm hands, flapping tremor, bounding pulse

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