Cardiovascular examination geeky medics

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Youll be expected to pick up the relevant clinical signs using your examination skills. This cardiovascular examination OSCE guide provides a clear concise, step by step approach, to examining the cardiovascular system, with an included video demonstration. General Inspection Bedside treatments or adjuncts? Shortness of breath at rest? Malar flush plum red discolouration of cheeks may suggest mitral stenosis Inspect chest - scars or visible pulsations? Jugular venous pressure 1. Ensure the patient is positioned at 45 2.

Cardiovascular examination geeky medics

Introduce yourself, confirm the patient's name and date of birth. Explain the purpose of the examination, and obtain consent. Ask the examiner to act as a chaperone and then proceed to wash hands. Begin the examination by inspecting the patient from the end of the bed. The patient should be exposed from the waist up. Offer a blanket to maintain their dignity and inform women that they may keep their undergarments on. Ask the patient to expose their legs as well, as there may be some obvious oedema or venous ulceration. Ask the patient if they are in any pain and are comfortable. Look out for the following signs which will give you a good indication of the state of the patient at rest. Increased work of breathing: This can be due to several cardiac pathologies ranging from pericarditis to congestive heart failure. Cyanosis: This suggests low tissue oxygen saturation and needs to be promptly addressed. Cardiac causes of cyanosis are usually congenital in nature due to right-to-left cardiac shunting or a result of abnormal haemoglobin. Note any paraphernalia around the bedside, looking for clues such as oxygen and ECG leads. Patients with angina may have a glyceryl trinitrate GTN spray. Inspection of the hands should be done in an intentional and noticeable way.

Inspect the precordium again in closer detail for scars and deformity. Auscultate all areas of the heart appropriately.

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Youll be expected to pick up the relevant clinical signs using your examination skills. This cardiovascular examination OSCE guide provides a clear concise, step by step approach, to examining the cardiovascular system, with an included video demonstration. General Inspection Bedside treatments or adjuncts? Shortness of breath at rest? Malar flush plum red discolouration of cheeks may suggest mitral stenosis Inspect chest - scars or visible pulsations? Jugular venous pressure 1.

Cardiovascular examination geeky medics

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Check the patient's blood pressure. No data shared with third parties Learn more about how developers declare sharing. When assessing the palm for pallor, a good tip is to compare the patients palm to your own. AI-enhanced title. If you hear a murmur, determine if it is systolic or diastolic by timing it with the carotid pulse. Be sure to palpate the carotid pulse whilst doing so in order to time any audible murmurs. This is best assessed when inspecting the back. Inspect the joints and palm for xanthomas yellow cholesterol-rich deposits , which are indicative of familial hypercholesterolaemia. May as well just say it as is, love the online geeky medic stuff and I'm sure the paid content in the app is great, but just advertise it as a paid app in the first place. The JVP can be distinguished from the carotid pulse by its double pulsation.

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Common scars include: Midline sternotomy: Located in the midline of the thorax. Palpate for heaves and thrills. It could be described as normal, bounding aortic regurgitation , thready circulatory shock , or slow-rising aortic stenosis. Ask the examiner to act as a chaperone and then proceed to wash hands. On general inspection , there were no paraphenalia to suggest disease, and the patient appeared comfortable and well at rest. Sorry to have caused any confusion. Interactive markscheme When assessing each other, click on each list item as you go along. This is done by keeping your right hand on the area of the apex beat and using your left hand alone to count the ribs from the angle of Louis. I would like to formally assess blood pressure and radio-femoral delay. Patients may also have peripheral vascular disease, particularly if they are known diabetics, so note any ulcers and offer to check for peripheral pulses. Skip carousel. These include a few murmurs, such as a mid-diastolic murmur in mitral stenosis, and vascular bruits. Assess the jugular venous pressure. Great app that brings all the content together for easy referencing.