Cardiovascular Examination Flashcards Preview

Clinical Skills > Cardiovascular Examination > Flashcards

Flashcards in Cardiovascular Examination Deck (11):
1

What position does the patient need to be in?

45degrees
chest exposed

2

What are the main stages of the exam?

General Inspection
Hands
Pulses
Face
Close Inspection of the Chest
Palpation
Auscultation
Sacral and Peripheral Oedema
Peripheral Pulses

3

What are you looking for in general inspection? Where is it done from?

Anxiety
Distress
Breathlessness
Pallor
Sweating
Cachexia
From the end of the bed

4

What are you looking for when examining the hands?

Splinter Haemorrhages
Clubbing
Clour
Temperature
Sweaty
Staining
Capillary refill
Janeway lesions
Osler's nodes

5

What are you examining in pulses?

Radial - rate, rhythm ad respiratory rate
Brachial - volume and character
Blood Pressure
Carotid Pulse - volume and character
JVP - and hepatojugular reflex

6

What are you looking for during the face examination?

Conjunctival Pallor
Cornea
Central Cyanosis
Palate
Dental Hygiene
Tongue to the roof of mouth and out

7

What are you looking for when examining the chest closely?

Scars
Rashes
Deformity
Symmetrical movement
Pulsations
Heaves
Breathing Pattern

8

What are you palpating for, and where?

Apex Beat - 5th intercostal space, mid axillary line
Parasternal Heaves - heel of the hand on the leg sternal edge
Thrills - hand horizontally across the chest

9

What are you listening for in Auscultation, with what part of the stethoscope?

Carotid Pulse and Bruits
4 Valves - bell and diaphragm

10

What manoeuvres are there for auscultating cardiac murmurs?

Atrial stenosis - carotid, hold breath
Atrial regurgitation - apex beat, lean forwards
Mitral - left sternal edge, lean to the left side

11

What are the peripheral pulses?

Femoral
Popliteal
Dorsalis pedis
Tibialis posterior