Precordial Examination Flashcards

1
Q

What is a Precordial Examination?

A

This is an examination of the heart which is located in the precordium.

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2
Q

Name the Steps involved in the Precordial Examination?

A
  • Inspect
  • Palpate
  • Auscultation
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3
Q

Inspection:

A

-Scars, deformities, dilated vessels, evidence of surgery or pacemaker

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4
Q

Palpation

A

Locate apex beat- 5th left intercostal space (hands horizontal)

  • Sternal heave- left side of sternum (heel of hands upwards)
  • Palpate the X4 valves (Aortic, Pulmonary, Tricuspid and mitral)
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5
Q

Where is the apex beat located?

A

Left 5th intercostal space

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6
Q

Where is the sternal heave located?

A

Left sternal angle (heel of hands upwards)

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7
Q

Auscultation

A

Valve Areas:

Listen for the X4 valve areas- Aortic, pulmonary, tricuspid and mitral)

-Image of valve areas- on notes

Tips: Accentuates Sounds

  • Turn patient to left side and listen for apex beat- identifies mitral stenosis
  • Sit patient forwards and ausculate over left lower parasternal edge > Aortic Regurgitation !!!!!!

Carotids:
-Left and right carotid arteries neck

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8
Q

How is the aortic and mitral regurg tested?

A

Mitral Regurg- turn patient on to their left side and listen over the mitral valve area

Aortic Regurg- listen over the aortic valve and get patient to sit foward and gold their breath in (makes the sound more clear)

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