CVS Systems OSCE Flashcards Preview

Paramedicine > CVS Systems OSCE > Flashcards

Flashcards in CVS Systems OSCE Deck (11):
1

Preparation:

Introduce
Informed Consent
Wash Hands
Position

2

General Inspection

breathing comfortably?
LOC?
Pain?
Colour?
Amputation
Items of note

3

Hands

Clubbing
Palmar creases (anaemia)
splinter haemorrhages
peripheral cyanosis
tar staining
cap refill

4

Radial pulse

Rate, rhythm character volume
radial-radial - delay
rad-fem delay if indicated
Ulnar pulse
collapsing pulse (raise radial)
Allens test (occlude both, clench and open hand, release ulnar)

5

Arms

Brachial pulse
BP
Xanthomata (hypercholestraemia)

6

Face

Anaemia
Corneal arcus
Xanthalesma
Central cyanosis
Mitral facies (cyanosed face, rosy cheeks)
dental hygiene

7

Neck

JVP (+hepatojugular reflux)
Palpate carotid pulses

8

Chest (Inspect)

Scars
Pacemakers
Visible pulseation

9

Chest (palpation)

Apex Beat
Heaves (pulse)
Thrills (vibe)

10

Chest (Auscultation)

Listen for murmurs
Apex/Mitral (5 IS, L MCL)
Tricuspid (4 ICS, L sternal edge)
Pulmonary Valve (2 ICS, L Sternal Edge)
Aortic Valve (2ICS, R sternal edge)
Axilla
Carotid pulse (bruits)

Lung bases - pulmonary oedema

11

Abdomen

Palpate Aorta
Auscultate Aorta
Ausultate Iliac and renal arteries (either side of Aorta)
Palpate femoral pulses
Auscultate femoral pulses