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Objectives. To succinctly examine the cardiovascular system and present your findings to a consultant examiner in 6 minutesDiscuss disease processes behind your clinical findingsPass the exam
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1. Cardiovascular Examination Miss L Pearce
4. HANDS/ARMS HANDS
Clubbing
Splinter Haemorrhages
Cyanosis / cool peripheries
Tendon Xanthoma
Tar Staining
ARMS
Pulse
Rate / Rhythm
+/- Delay
6. NECK / FACE JVP
Anaemia
Xanthelasma
Corneal Arcus
Malar Flush
Cyanosis
7. CHEST LOOK FEEL LISTEN
Look
Scars
Apex
Feel
Apex
Thrills / Heave
9. CHEST Listen
Apex (diaphragm) ?? Axilla
Roll Pt (bell at Apex)
Left Sternal Edge
Pulmonary
Aortic
10. SIT FORWARD Palpate the supraclavicular nodes
Listen at the left sternal edge in expiration
Auscultate lung bases
Feel the sacrum
Look at the ankles +/- lower leg
11. THEN… Cover the patient up
Turn to the examiner
Present your findings!!!
To complete my examination I would like to look at the observation chart and examine the peripheral vascular system.
12. QUESTIONS?