Cardiac Exam- OSCE Flashcards Preview

(Finals) OSCE > Cardiac Exam- OSCE > Flashcards

Flashcards in Cardiac Exam- OSCE Deck (18)
Loading flashcards...
1

Anterio-lateral Thoracotomy Scar

Open Chest Massage
Emergancy Access to pericardium

2

Clubbing

4 stages clubbing

  • Increases ballotability "boggy" nail bed 
  • Obliteration of nail bed angle
  • Convex nail fold
  • Drumsticking

Causes 

Any disease featuring chronic hypoxia

Congenital cyanotic heart disease (most common cardiac cause)

Subacute bacterial endocarditis

Atrial myxoma (benign tumor)

Tetralogy of Fallot

3

Corneal Arcus

Deposits of cholesterol and lipids 

  • Age
  • Hypercholesterolaemia 

4

Peripheral Cyanosis

  • raynauds
  • hypotension
  • peripheral vascular disease 
  • heart failure

5

Dental Carries

 periodontal atherosclerosis

infective endocarditis 

6

High arched palate

Marfan's 

Ehlers Danlos

other syndromes - 

  • mitral valve prolapse
  • aortic aneurysm 
     

7

Janeway Lesion

non-tender, small erythematous or haemorrhagic macular or nodular lesions on the palms

Infective endocarditis 

8

Malar Flush 

 

Mitral Stenosis

9

Osler's Nodes 

Osler nodes are red-purple, slightly raised, tender lumps, often with a pale centre. Pain often precedes the development of the visible lesionby up to 24 hours. They are typically found on the fingers

Infective Endocarditis 

10

Permanent pacemaker 

11

Subconjuctival Pallor

Anaemia 

 

12

Pallor of palmar creases 

anaemia

13

Pectus Excavatum

Marfans
 Auscultation of the chest can reveal displaced heart beat and valve prolapse. There can be a heart murmur occurring during systole caused by proximity between the sternum and the pulmonary artery.

14

Splinter Haemorrhages 

Dark red/brown vertical lines seen at the top of the nail. They are small emboli lodged in the nail capillaries damaging vessel walls and causing localised haemorrhage.

Causes include trauma,  bacterial endocarditis, scleroderma, and other autoimmune conditions. Vasculitis hyercholesterolaemia

15

Sternotomy Scar

Open heart surgery

  • Transplant
  • Valve replacement
  • congenital defect correction
  • CABG

16

Tendon Xanthoma

Hypercholesterolaemia

17

Xanthalasma

macrophages that have taken up fat cells or cholesterol and have become transformed into foam cells

hypercholesterolaemia

18