Cardiobascular Flashcards Preview

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Flashcards in Cardiobascular Deck (13)
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1
Q

General exam for cvd

A

Breathless
In pain
Hooked up to any drips/monitors
Looking comfortable

2
Q

Hands

A
Finger clubbing
Splinter haemorrhages
Nicotine staining
Cyanosis
Anaemia
3
Q

Face

A
General colour 
Xantholasmas
Eyes - corneal arcus 
Flush
Tongue - cyanosis
4
Q

Pulse

A

Rate rhythm character
Regular or irregular - AF
VOLUME AND CHARACTER - high cardiac output state/ pregnant - high volume

Low volume - low output state - heart failure - hypovolaemia

5
Q

In aortic stenosis regurg

A

Collapsing pulse - raise patients are - tapping sensation felt if malgnant

6
Q

Internal jugular vein is palpated

A

Cannot be seen itself - pulsation transmit - examine right side first .
Normal JVP maybe a few cm above the clavicle

7
Q

Heaptojugular reflux

A

Check for pain
Hand presses firmly over upper abdomen - venous pulse may be seen rising due to increased venous return - sign of heart failure

8
Q

Palpation

A

Alex beat - midclavicular line 5 th intercostal space

Displacement of apex beat suggests large heart

9
Q

Check for right ventricular heave along left sternal edge

A

Felt during held in expiration

Left oarasternal heave - right ventricular hyoertrophy - pulmonary hypertension

10
Q

Thrills

A

A palpable murmur - aortic stenosis - upper chest or neck

11
Q

Auscultation

A

Apex / mitral - 5th intercostal mid clavicular

Tricuspid left lower sternal edge

Pulmonary - left sternum edge / 2 intercostal space

Aortic area - right stern also edge - 2nd intercostal space

Listen to carotid

12
Q

Mitral stenosis best heard how

A

Apex with patient on their left side

13
Q

Aortic regurg murmur

A

Best heard at left eternal edge sitting forward holding breath out