Flashcards
Cardiovascular examination
Cards in this deck (26)
- 1examine hands for?- circulation for warmth
- capillary refill
- evidence of peripheral cyanosis
- tar staining
- clubbing
- splinter haemorrhages
- Janeway lesions
- Osler's nodes
- koilonychia - 2examine face and mouth for?- malar flush
- pallor
- clinical anaemia
- xanthelasmata
- corneal arcus
- central cyanosis (pale lips) - 3what causes malar flush?a sign of mitral valve disease
- 4how do you check for anaemia?pale conjunctiva
- 5where are osler's nodes found?finger and toe tips, thenar and hypothenar eminences
- 6where are Janeway lesions found?soles, palms, thenar and hypothenar eminences, plantar surface of the toe
- 7signs of Infective EndocarditisJanway lesions, oslers nodes, Roth spots, splinter haemorrhages, petechiae
- 8what is a roth spotretinal haemorrhage with pale white centre
- 9what is xanthelasma?yellowish flat plaques on upper and lower eyelids
- 10what is corneal arcusa white ring around the cornea
- 11what are xanthelasmata and corneal arcus a marker for ?underlying atherosclerosis and a disturbed lipid metabolism
- 12where are the most important baroreceptors located?carotid sinus (bifurcation of internal and external carotid) and in the aortic arch
- 13what is a collapsing pulse a sign of?aortic regirgitation
- 14why do we measure the JVP?provides an indirect measure of central venous pressure.
The internal jugular vein connects to the right atrium without any intervening valves - thus acting as a column for the blood in the right atrium. - 15what is the normal height of the vertical distance between the sternal angle and the top of the JVP?less than 3cm
- 16where would a diastolic murmur of mitral stenosis be accentuated?with your bell at the apex in expiration in left lateral position
- 17where would a systolic murmur of mitral regurgitation radiate?diaphragm at left axilla
- 18diastolic murmur of aortic regurgitation accentuated?lower left sternal edge with patient sat forwards. using diaphragm in expiration
- 19accentuation of carotid bruits/ aortic stenosis?over carotids.
with diaphragm in held inspiration - 20auscultation of aortic valveright 2nd ICS, parasternally
- 21auscultation of pulmonary valveleft 2nd ICS, parasternally
- 22auscultation of mitral valveleft 5th ICS, mid clavicular line
- 23auscultation of tricuspid valveleft 4th ICS, parasternally
- 24what is Erb's point?the auscultation location for heart sounds and heart murmurs
located at the third intercostal space and the left lower sternal border. - 25what is the 1st heart soundclosing of mitral and tricuspid valve
- 26what is the 2nd heart soundclosing of aortic and pulmonary valve
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- Clinical Medicine (Cardiovascular System) Flashcards on Cardiovascular examination, created by hazel wilkie on 26/10/2017.
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- hazel wilkie
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