Cardiovascular examination geeky medics

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Youll be expected to pick up the relevant clinical signs using your examination skills. This cardiovascular examination OSCE guide provides a clear concise, step by step approach, to examining the cardiovascular system, with an included video demonstration. General Inspection Bedside treatments or adjuncts? Shortness of breath at rest? Malar flush plum red discolouration of cheeks may suggest mitral stenosis Inspect chest - scars or visible pulsations? Jugular venous pressure 1. Ensure the patient is positioned at 45 2.

Cardiovascular examination geeky medics

Introduce yourself, confirm the patient's name and date of birth. Explain the purpose of the examination, and obtain consent. Ask the examiner to act as a chaperone and then proceed to wash hands. Begin the examination by inspecting the patient from the end of the bed. The patient should be exposed from the waist up. Offer a blanket to maintain their dignity and inform women that they may keep their undergarments on. Ask the patient to expose their legs as well, as there may be some obvious oedema or venous ulceration. Ask the patient if they are in any pain and are comfortable. Look out for the following signs which will give you a good indication of the state of the patient at rest. Increased work of breathing: This can be due to several cardiac pathologies ranging from pericarditis to congestive heart failure. Cyanosis: This suggests low tissue oxygen saturation and needs to be promptly addressed. Cardiac causes of cyanosis are usually congenital in nature due to right-to-left cardiac shunting or a result of abnormal haemoglobin. Note any paraphernalia around the bedside, looking for clues such as oxygen and ECG leads. Patients with angina may have a glyceryl trinitrate GTN spray. Inspection of the hands should be done in an intentional and noticeable way.

An aortic coarctation is a congenital narrowing of the descending aorta.

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Youll be expected to pick up the relevant clinical signs using your examination skills. This cardiovascular examination OSCE guide provides a clear concise, step by step approach, to examining the cardiovascular system, with an included video demonstration. General Inspection Bedside treatments or adjuncts? Shortness of breath at rest? Malar flush plum red discolouration of cheeks may suggest mitral stenosis Inspect chest - scars or visible pulsations? Jugular venous pressure 1.

Cardiovascular examination geeky medics

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Flag for inappropriate content. Xanthelasma: Yellow deposits of fat under the skin near the eyelids. Axillary thoracotomy scar: Usually located at the 5th intercostal space in the anterior axillary line. This cardiovascular examination OSCE guide provides a clear concise, step by step approach, to examining the cardiovascular system, with an included video demonstration. This is best assessed when inspecting the back. This will check for any carotid bruits, a low-frequency, whooshing sound which presents with turbulent blood flow. Open navigation menu. Offer to check for radio-femoral delay , which will also present in these conditions. Data privacy and security practices may vary based on your use, region, and age. Jugular venous pressure 1. Mannerism Baroque Mannerism Baroque. If the patient has a midline sternotomy scar, this could be a result of a coronary artery bypass graft.

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Stigmata - a clinical sign relating to a particular condition. General inspection Begin the examination by inspecting the patient from the end of the bed. Inflammation of the endocardium secondary to infection is known as infective endocarditis. Cardiacassessmentppt Cardiacassessmentppt Palpate for the apex beat and assess its position. This app may collect these data types App info and performance. Perform mitral stenosis manoeuvre left side on expiration and listen in the axilla for radiation mitral regurgitation. Problems Problems. Make careful note of any steps missed at the end. Palpate the left radial pulse to compare and check for radio-radial delay , which could be a sign of aortic coarctation or aortic dissection.