Flashcards in Physical examination findings Deck (14):
What is the changes in JVP seen during inspiration in a healthy person? Give the reason.
The JVP normally falls with inspiration due to decreased intrathoracic pressure
What is Kussmaul's sign?
It is a paradoxical rise in JVP on inspiration, or failure in the appropriate fall of JVP with inspiration.
What are the waves seen in a jugular pulse tracing?
a wave, v wave and occasionally c wave
When do the waves in a jugular pulse tracing occur in?
a wave is from right atrial contraction.
v wave is from right atrium filling when the tricuspid valve is closed.
c wave is seen when the tricuspid valve closes.
How is pain caused by venous insufficiency relieved?
Pain caused by venous insufficiency is often relieved by walking or by elevating the legs. Compression stockings usually ameliorate the pain.
What is pectus excavatum?
Funnel chest: It is a posterior displacement of the lower sternum
What is pectus carinatum?
Pigeon chest: It is a deformity of the chest characterised by a protrusion of the sternum and ribs.
What is the temperature of the skin of the affected region in Peripheral Arterial Disease and in Peripheral Venous Disease?
In Peripheral Arterial disease, the temperature is normal or cool.
In Peripheral Venous disease, the temperature is normal or increased.
Name 6 ischaemic signs of lower limb PAD
absence of hair, thin skin and brittle nails
Cold and pallor
Pulse may be diminished or absent
What are the 6 signs of acute limb ischaemia?
The 6 P's:
Paraesthesia (loss of light touch sensation over the forefoot/dorsum of hand)
Pain on squeezing muscle (indicative of impending muscle infarction)
There may also be absence of hair, thin skin and brittle nails
Name the alternative diagnosis for chest pain: cardiovascular.
Pericarditis, Aortic dissection, Aortic stenosis, Myocarditis
What are the alternative diagnosis for chest pain: respiratory
Pulmonary embolism, Pneumothorax, Lung cancer, Pleurisy
What are the alternative diagnosis for chest pain: Musculoskeletal
fractured/bruised rib, Tietze's syndrome (Costochrondritis), Muscle strain/tear