Showing posts with label internalMed. Show all posts
Showing posts with label internalMed. Show all posts
Labels:
internalMed,
medical videos
Assess peripheral pulses Carry out an ECG Dipstick urine Bedside Blood Glucose Fundoscopy source :
CVS Examination
Introduction
Introduce yourself Explain what you would like to examine Gain consent Place patient at 45° with chest exposed Ask if patient has any pain anywhere before you begin!General Inspection
Bedside for treatments or adjuncts – GTN spray, O2, Tablets, Wheelchair, Warfarin Comfortable at rest? SOB Malar Flush Chest for scars & visible pulsations Legs for harvest site scars and peripheral oedema ..Hands
Temperature - poor peripheral vasculature Capillary refill – should be <2 seconds Colour – cyanosis Clubbing Splinter haemorrhages, Jane-way lesions, Oslers Nodes – infective endocarditis Palmar Erythema – hyperthyroidism, pregnancy, polycythaemia Nicotine Staining – smokerPulses
Radial Pulse – rate & rhythm Radial-Radial Delay – aortic coarctation Collapsing Pulse – aortic regurgitation BP – narrow pulse pressure = Aortic Stenosis | wide pulse pressure = Aortic Regurgitation Carotid – character & volume JVP – measure and also possibly carry out hepatojugular reflexFace
Eyes – conjunctival pallor, jaundice, corneal arcus, xanthelasma Mouth – central cyanosis, angular stomatitis Dental hygiene – infective endocarditisClose Inspection Of Chest
Scars - lateral thoracotomy (mitral valve), midline sternotomy (CABG), clavicular (pacemaker) Apex beat – visible in aortic regurgitation and thyrotoxicosis Chest wall deformities – pectus excavatum, pectus carniatumPalpation
Apex beat – 5th intercostal space, mid clavicular Heaves- left sternal edge – seen in left & right ventricular hypertrophy Thrills – Palpatable murmurs over aortic valve & apexAuscultation
Listen over 4 valves - ensure palpation of carotid pulse to determine first heart sound Roll onto left side & listen in mitral area – mitral stenosis Lean forward & listen over aortic area- aortic regurgitation Carotids - radiation of aortic stenosis murmurs & bruits Lung bases – pulmonary oedema Sacral Oedema & Pedal OedemaTo complete the examination
Thank Patient Wash hands Summarise Findings Say you wouldAssess peripheral pulses Carry out an ECG Dipstick urine Bedside Blood Glucose Fundoscopy source :
- Macleod
- http://geekymedics.com/osce/cardiovascular-examination-2/
Labels:
internalMed,
pictures
Spider Nevi
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| ecchymosis |
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| purpura |
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| petechiae |
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| Spider Nevi |
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| Paraumbilical Hernia |
Labels:
dictionary,
examination,
internalMed,
paeds
Cool websites
1) Mondofacto---a Medical dictionary yang lengkap kumpulkan segala jenis clinical signs, abbreviations, prefix and suffix serta macam-macam lagi.
2)Demonstrations untuk berlatih dengar heart sound and murmur dari normal ke abnormal. Seriyes cool. Navigate untuk tengok skill modules yang lain mcm auscultation percussion . Ni maca sangat2 berguna masa Internal Medicine kot. Tapi ni basic clinical skills kan, so takbleyh pandang remeh.
3)Ni notes paeds yang sungguh comel dan menggeramkan. For future use iA
2)Demonstrations untuk berlatih dengar heart sound and murmur dari normal ke abnormal. Seriyes cool. Navigate untuk tengok skill modules yang lain mcm auscultation percussion . Ni maca sangat2 berguna masa Internal Medicine kot. Tapi ni basic clinical skills kan, so takbleyh pandang remeh.
3)Ni notes paeds yang sungguh comel dan menggeramkan. For future use iA
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