Head to Toe Assessment 5

Question 1

I am now going to inspect, palpate, and auscultate the carotid arteries (using the bell of my stethoscope).

Answer 1

FLIP THE STETHOSCOPE no bruit auscultated.

Question 2

FLIP STETHOSCOPE BACK I am now going to inspect for jugular vein distention.

Answer 2

(can you look all the way to the left/right)

there’s no evidence of jugular vein distention.

Question 3

(LOWER BED AT 45º ANGLE!) I’m now going to do a systematic auscultation of the aortic, pulmonic, erbs, tricuspid, and mitral areas.

Answer 3

• I am now going to auscultate the aortic landmark at the 2nd intercostal space, right sternal border.
• I’m now going to auscultate the pulmonic landmark at the 2nd intercostal space, LEFT sternal border.
• I’m now going to auscultate erb’s point at the 3RD intercostal space, LEFT sternal border.
• I’m now going to auscultate the tricuspid area at the 4TH intercostal space, LEFT sternal border.
• I’m now going to auscultate the mitral valve at the 5th intercostal space, MIDCLAVICULAR line.

Then say: S1S2. Regular Rate and Rhythm.

Question 4

I’m now going to palpate the radial and brachial pulses SEPERATELY and check capillary refill time in the fingers of both hands.

Answer 4

equal pulses bilaterally and there’s less than 3 seconds of capillary refill time.

Question 5

I’m now going to palpate for bilateral posterior tibial and dorsal pedis pulses and check capillary refill in toes on both feet.

Answer 5

equal pulses bilaterally and there’s less than 3 seconds of capillary refill time.