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Y1 Cardiovascular > Clinical Skills > Flashcards

Flashcards in Clinical Skills Deck (74)
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1

Cardiovascular examination of the hands

capillary refill, peripheral cyanosis, xanthomaa, Janeway lesions (not-painful), oeslers nodes (painful), splinter haemorrhages, clubbing

2

Which lesions are painful?

oslers nodes

3

What are splinter haemorrhages the result of?

infective endocarditis

4

Which pulses should be examined in the cardiovascular system?

carotid, brachial, radial

5

Why would you take blood pressure and pulses on each arm?

to compare any significant differences - these might indicate an aortic dissection or valvuler disorder if difference > 20mmHg

6

Procedure for checking BP

Wash hands, confirm patient details, inform that it may need to be done more than once, gain consent, inform that this may be withdrawn at any time, do BP, wash hands, thank patient, explain findings

7

Other pulse issues to be checked in arm?

collapsing pulse - CHECK FOR SHOULDER PAIN

8

Angle patient should be at during cardiovascular examination

45˚

9

The JVP should be measured from where?

the sternal angle

10

Where will the JVP be found?

above the supra-clavicular fossa

11

How might the JVP be accentuated?

asking the patient to take a deep breath or pressing in an upward motion on the liver

12

A raised JVP may be indicative of?

RHF, Right valvuler disease

13

What else should be checked at the carotids?

carotid bruits - ask patient to hold breath if necessary

14

A collapsing pulse is felt as...

a waterhammer pulsation

15

Things to report about a pulse (4)

rate, rhythm, character and volume

16

An irregularly irregular pulse is indicative of?

atrial fibrillation

17

A bounding pulse may indicate?

CO2 retention, liver failure, sepsis

18

A visible carotid pulse may indicate?

aortic regurgitation

19

Corneal arcus is a sign of...

hyperlipidaemia

20

Xanthelasma is a sign of...

hyperlipidaemia

21

Grey conjunctiva may indicate...

anemia

22

Anemia may cause which respiratory symptom?

breathlessness

23

malar flush can be described as...

butterfly pattern redness on cheek

24

Malar flush is a result of...

mitral stenosis

25

What is it important to palpate on the precordium?

the apex beat, heaves and thrills

26

Where should the apex beat be found?

mid-clavicular line, 5th intercostal space

27

A displaced apex beat may indicate?

cardiac hypertrophy

28

A heave is indicative of...

right ventricular enlargement

29

A heave is likely to be felt at...

the left sternal edge

30

A thrill is...

a palpable murmur felt as a vibration beneath the hand