Cardiovascular Exam

Cardiovascular Exam

1. 1.Hands

   • Infective endocarditis
     • Clubbing
     • splinter hemorrhages
     • Janeway lesions
     • Oslers nodes
   • Palmar erythema (thyrotoxicosis)
   • Pulses
     • radial pulse incl radio-radial delay
     • Collapsing pulse
     • Radio-femoral delay

2. 2. Arms

   • Ask for BP

3. 3. Face

   • Eyes: pallor, corneal arcus, xanthelasma
   • Mouth: central cyanosis and poor dentition
   • Malar flush

4. 4. Neck

   • JVP
   • Carotid pulse character

5. 5. Chest wall

   • 1. INSPECTION
     • Scars: Pacemaker/ICD; sternotomy
     • Visible heave @ apical and parasternal
   • 2. PALPATION
     • Apex beat; heave Thrills
   • 3. AUSCULTATION
     • 4 cardiac areas w/ special tests for AR and MS incl radiation of AS and MR

6. 6. Back and Ankles

   • 1. Ascultate lung bases and palpate for sacral edema
   • 2. Peripheral edema at the feet