General inspection from the end of the bed then move to close inspection (scars , skeletal abnormalities, implant cardiac device or an apex beat) Palpation First the apex beat most inferior lateral point When it’s found defined the anatomical location of it 5 left intercostal space mid clavicular line If it’s impalpable start auscultation from 5th IC MCL fell for thrill which is palpable murmur Feel for parasternal heave Auscultation apex , tricuspid, aortic, pulmonary , carotid
General inspection away from them.. First: Palpate APEX Beat, should be at apex. Feel for thrills; palpable murmurs Percussion not done in cardiology examination. Palpate carotid Listen to heart by diaphragm of stethoscope; apex, tricuspid, aortic, pumonarry, both carotid arteries Listen to heart by bell of stethoscope; in same places, listen for murmur (site, radiation, grade, character of murmur) Breathe in, breathe out, and hold your breath after expiration; use the bell for mitral area, accentuates murmurs, (mitral stenosis) Then same thing, after full expiration, put diaphragm in axilla to check mitral regurgitation Aortic stenosis; after full expiration, diaphragm over carotid Aortic regurgitation; after full expiration, sit forward. Diaphragm over tricuspid area Make sure u let the pt breathe in between them and make sure they are okay..
Thank you Sir, this was very thorough and straight to the point.
General inspection from the end of the bed then move to close inspection (scars , skeletal abnormalities, implant cardiac device or an apex beat)
Palpation
First the apex beat most inferior lateral point When it’s found defined the anatomical location of it 5 left intercostal space mid clavicular line
If it’s impalpable start auscultation from 5th IC MCL fell for thrill which is palpable murmur
Feel for parasternal heave
Auscultation apex , tricuspid, aortic, pulmonary , carotid
Thank You Sir!!
thank you so much!
Thank you so much
General inspection away from them..
First: Palpate APEX Beat, should be at apex.
Feel for thrills; palpable murmurs
Percussion not done in cardiology examination.
Palpate carotid
Listen to heart by diaphragm of stethoscope; apex, tricuspid, aortic, pumonarry, both carotid arteries
Listen to heart by bell of stethoscope; in same places, listen for murmur (site, radiation, grade, character of murmur)
Breathe in, breathe out, and hold your breath after expiration;
use the bell for mitral area, accentuates murmurs, (mitral stenosis)
Then same thing, after full expiration, put diaphragm in axilla to check mitral regurgitation
Aortic stenosis; after full expiration, diaphragm over carotid
Aortic regurgitation; after full expiration, sit forward. Diaphragm over tricuspid area
Make sure u let the pt breathe in between them and make sure they are okay..
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Kind of looked like the examiner was palpating the carotid sinus? In my handout for med school it tells us to avoid doing that.
Carotid arteries can be palpated but one at a time avoiding simultaneously otherwise pt. May go into syncope.
Very cool. what In life Is beautiful to you? See ya Xd
Its precordium not prae