Cardiovascular Examination | OSCE Guide | UKMLA | CPSA

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  • เผยแพร่เมื่อ 16 มิ.ย. 2024
  • This video demonstrates how to perform a cardiovascular examination in an OSCE station.
    You can access our step-by-step OSCE guide to accompany this video here: geekymedics.com/cardiovascula...
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    Chapters:
    - Introduction 00:00
    - General inspection 00:35
    - Hands 00:46
    - Schamroth's window test 01:07
    - Capillary refill 01:27
    - Pulses 01:35
    - Carotid auscultation 02:21
    - Carotid pulse 02:43
    - Jugular venous pressure 02:55
    - Hepatojugular reflux 03:09
    - Inspection of the face 03:21
    - Inspection of the chest 03:49
    - Apex beat 04:12
    - Heaves and thrills 04:28
    - Heart valve ausculation 04:49
    - Accentuation manoeuvres 05:45
    - Lung base auscultation 06:23
    - Sacral and pedal oedema 06:43
    - Summary 07:10
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    Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
    Normal heart sounds and aortic regurgitation/stenosis sounds
    Recorded on a Thinklabs Digital Stethoscope (www.thinklabs.com)
    Some people have found this video useful for ASMR purposes.
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ความคิดเห็น • 186

  • @geekymedics
    @geekymedics  3 ปีที่แล้ว +58

    Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles

  • @danspitalnik
    @danspitalnik 4 ปีที่แล้ว +2641

    If it helps anyone remember it, RILE is a good mnemonic for knowing that Right-sided valve murmurs are louder with Inspiration (RI) and Left-sided are louder with expiration (LE).

  • @geekymedics
    @geekymedics  6 ปีที่แล้ว +66

    Learn clinical skills on the move and support us in producing more awesome videos with the Geeky Medics app geekymedics.com/geeky-medics-app/ 👾💉🎉

    • @keegan77kh
      @keegan77kh 6 ปีที่แล้ว +1

      Hi Guys, have purchased the app and finding it very useful. Just wondering if you have plans to increase the app's content, as I was hoping it to be as extensive as the website. Also, a navigation bar present in a corner would be useful, instead of having to click into each section, to find the guide that you are looking for. Cheers

    • @geekymedics
      @geekymedics  6 ปีที่แล้ว

      Hey +Keegan Hunter , we’re going to be continually adding to the apps content, with several new sections planned for the next update. In addition we’ll be giving those users supporting us, via the app, early access to our latest content. I’ve taken note of the menu suggestion and it’s certainly something we’ll consider as we continue to improve the app.

    • @keegan77kh
      @keegan77kh 6 ปีที่แล้ว

      Great to hear :) keep up the awesome work, the website and app have been invaluable for my OSCEs and hospital examinations

    • @geekymedics
      @geekymedics  6 ปีที่แล้ว

      😊

    • @geekymedics
      @geekymedics  6 ปีที่แล้ว

      Woah! We feel privileged!

  • @angelalopez6667
    @angelalopez6667 6 ปีที่แล้ว +82

    Wow, another amazing video. Thank you guys for including the heart sounds, including murmurs and regurgitations. Awesome work!

  • @TEEFAB
    @TEEFAB หลายเดือนก่อน +5

    I had my OSCE exam yesterday. And I must say, this helped me a lot. Although I missed a bit of the assessment, but I think I did well. Thank you so much. ❤

  • @SamOwenI
    @SamOwenI 6 ปีที่แล้ว +269

    Wow, heart sounds as well? Thanks guys.

    • @geekymedics
      @geekymedics  6 ปีที่แล้ว +40

      Glad you like the new video :) More coming very soon 🎉

  • @sean666777888
    @sean666777888 6 ปีที่แล้ว +576

    Andrew has been a final year med school for sooo long lol. ;)

    • @qasimkhan-qv9hi
      @qasimkhan-qv9hi 5 ปีที่แล้ว +3

      Hahahah

    • @cristomathew9171
      @cristomathew9171 5 ปีที่แล้ว +42

      Yeah poor guy keeps failing his OSCEs

    • @drdj69
      @drdj69 4 ปีที่แล้ว +14

      @@cristomathew9171 no. he is currently doing his Masters in America.

    • @maheshbava4166
      @maheshbava4166 4 ปีที่แล้ว +26

      @@drdj69 whooooosh

  • @nguyenngongocngan8970
    @nguyenngongocngan8970 4 ปีที่แล้ว +7

    thank you. I am going to have test about Clinical Skill next week. This video help me to review the lecture. Thank you very much

  • @Raashmitha12
    @Raashmitha12 3 ปีที่แล้ว +20

    Your way of teaching is amazing... It helps to take notes also.. nice !!❣️.. keep on doing.. it makes us to prepare for exams easier...tq..❤️😁

  • @gamerguy765
    @gamerguy765 6 ปีที่แล้ว +66

    This is everything I needed in a video. Thank you for the effort , y’all know what you’re doing

  • @geetsingh668
    @geetsingh668 3 ปีที่แล้ว +31

    Andrew, you must be so good at your clinical skills as you're practicing for so long and that too with ethics

  • @rohu2223
    @rohu2223 ปีที่แล้ว +24

    Preparing my osce at the last years, you have been so helpful for me
    Thank you very much

    • @geekymedics
      @geekymedics  ปีที่แล้ว +4

      That’s fantastic to hear Ro!

  • @sheetalsriraman4148
    @sheetalsriraman4148 4 ปีที่แล้ว +11

    Your videos are extremely helpful! Thank you so much! :)

  • @Nurse-Grace
    @Nurse-Grace 7 หลายเดือนก่อน +4

    So helpful for my DNP skills test out!! Thank you so much for instructing at a reasonable pace and for providing specifics for landmarks and normal vs abnormal sounds and findings! Excellent content!! 🩺

  • @Rafus49
    @Rafus49 4 ปีที่แล้ว +2

    That's a great video. Many thanks from Poland!

  • @ariadne1683
    @ariadne1683 6 ปีที่แล้ว +15

    I love this video, thank you so much! So interesting with all the sounds!!

  • @ambi4123
    @ambi4123 3 ปีที่แล้ว +5

    This is amazing and very informative ... Thank you ☺️

  • @josephvinod1350
    @josephvinod1350 5 ปีที่แล้ว +10

    Wonderful presentation. These videos have been so useful.

  • @SalmanHasanRafi
    @SalmanHasanRafi 4 ปีที่แล้ว +4

    Really nice and helpfully explained in easy way..

  • @user-nw9er7jx2m
    @user-nw9er7jx2m 6 ปีที่แล้ว +35

    My osce examination gonna be tomorrow.. and you just make me waiting for it. Thank you🙏🏻

  • @sean2200
    @sean2200 ปีที่แล้ว +176

    Poor James. Severe MR, AS and some of the worst AR I’ve ever heard. It’s a miracle he looks so comfortable at rest. Wish him all the best.

    • @oluseyeoluwafemi5135
      @oluseyeoluwafemi5135 11 หลายเดือนก่อน +13

      I doubt those were his actual heart sounds,I guess the producer added those sounds so we have a sense of what the pathology sounds like...

    • @AbuDaia
      @AbuDaia 9 หลายเดือนก่อน +40

      @@oluseyeoluwafemi5135he was being sarcastic relax

    • @drsahiba8763
      @drsahiba8763 6 หลายเดือนก่อน

      Those were not real sounds

  • @cadamiproudsomalilander1338
    @cadamiproudsomalilander1338 ปีที่แล้ว

    Thanks, helped My last OSCE in 2022

  • @thirva95
    @thirva95 4 ปีที่แล้ว +1

    This was great guys! Thanks a ton! :)

  • @brightmwape7423
    @brightmwape7423 5 ปีที่แล้ว

    Thank you ,these videos are very helpful.

  • @amreza6491
    @amreza6491 ปีที่แล้ว

    Amazing!!! Thank you so much for this ♥️

  • @SamSamSamLawl
    @SamSamSamLawl 6 ปีที่แล้ว +2

    Thanks for posting!

  • @amandasethu7657
    @amandasethu7657 5 ปีที่แล้ว

    WOW! Thank you for this video

  • @sarahmina1442
    @sarahmina1442 6 ปีที่แล้ว +9

    thank you guys, that was amazing!

    • @geekymedics
      @geekymedics  6 ปีที่แล้ว +4

      Glad you found it useful :)

  • @kryztofsharpe8566
    @kryztofsharpe8566 4 ปีที่แล้ว +5

    They sometimes recommend palpating for dextrocardia before looking for the Apex. Most times it is unnecessary but it helps on the of chance it shows up and consultants like to see you do it.

  • @etharabdelnasser4237
    @etharabdelnasser4237 5 ปีที่แล้ว +2

    Great effort 🌷 thanks alot doctors🌺🌺

  • @misskakouei6638
    @misskakouei6638 ปีที่แล้ว

    👏👏👏many thanks for free teaching for every eager to learn more in a world

  • @musastuart10
    @musastuart10 6 หลายเดือนก่อน

    Suis en train de me préparer pour le examen practical final de Médecine. Merci pour cette vidéo. Bon courage à moi 2:30

  • @xxxx-xs5vr
    @xxxx-xs5vr 5 ปีที่แล้ว

    i have an osce tomorrow thanks!!!

  • @aksamary9618
    @aksamary9618 4 ปีที่แล้ว

    Thank you for your valuable information

  • @wedawewe5142
    @wedawewe5142 3 ปีที่แล้ว

    Thanks 🙏🏻 from Libya 🇱🇾

  • @ohudyansary
    @ohudyansary 5 ปีที่แล้ว +1

    thanks dr this is so helpful

  • @jadegarmash4691
    @jadegarmash4691 ปีที่แล้ว +1

    This has truly prepared me for my rotation.

  • @Steinbrecher72
    @Steinbrecher72 5 ปีที่แล้ว +2

    I love this video, it’s cool

  • @PiercedInkedBlatino
    @PiercedInkedBlatino 6 ปีที่แล้ว +9

    Was totally wondering what ever happened with Andrew it’s awesome to see a new video 🤙

    • @geekymedics
      @geekymedics  6 ปีที่แล้ว +6

      You’ll be seeing more of him soon :)

  • @Dr.HJ99
    @Dr.HJ99 3 ปีที่แล้ว +2

    This helps me a lot
    Thanks

  • @nabanitadebnath8995
    @nabanitadebnath8995 6 ปีที่แล้ว

    Very nice ly explained...thnx for this video

  • @drsibisudhan
    @drsibisudhan 5 ปีที่แล้ว

    Wow. Very useful. Subscribed

  • @bhstone1
    @bhstone1 6 ปีที่แล้ว +13

    This is a well done video! Do you auscultate Erb's space in the UK?

    • @VinnithPullavarayar
      @VinnithPullavarayar 5 ปีที่แล้ว +3

      In the video he auscultates at Erb's space when the showed aortic regurgitation.. they just didin't mention it as being Erb's space

  • @nyamurungibtumusiime4562
    @nyamurungibtumusiime4562 5 ปีที่แล้ว +5

    Heart sounds .....amazinnģ!!!!

  • @raskinlex
    @raskinlex 3 ปีที่แล้ว +1

    best ASMR for me

  • @liabduhliabduh2207
    @liabduhliabduh2207 6 ปีที่แล้ว +4

    Thank you sir, you are the best.

  • @Noor-pz3sv
    @Noor-pz3sv 6 ปีที่แล้ว

    Thanks guys ❤️❤️

  • @Janalejigre34
    @Janalejigre34 ปีที่แล้ว

    Thank u very much these vidoes help us

  • @danjoellukumbi1115
    @danjoellukumbi1115 ปีที่แล้ว +6

    Still enjoy watching this as I prepare for my first internal medicine exam! Thank you!
    Was just wondering at 5:53 min the aortic regurgitation murmur sounds a lot like continuous murmur and quite machinery, is it not a Patent Ductus Arteriosus murmur ?

  • @sacdiyasiman1348
    @sacdiyasiman1348 2 ปีที่แล้ว

    Waw this is an Amazing thank you so much it helps me allot

  • @medicine-mutasim
    @medicine-mutasim 3 หลายเดือนก่อน

    that's what we needed

  • @FloreFleur
    @FloreFleur 4 ปีที่แล้ว

    Excellent video

  • @killa-um7ds
    @killa-um7ds 6 ปีที่แล้ว +1

    Thank you !!

  • @laithalpadani8581
    @laithalpadani8581 ปีที่แล้ว

    Excellent, thanks

  • @DrDinooshDeLivera
    @DrDinooshDeLivera 5 ปีที่แล้ว +1

    Thank you!

  • @sanasani4194
    @sanasani4194 ปีที่แล้ว

    Excellent sir 🙏

  • @v.p_rathwa6312
    @v.p_rathwa6312 5 ปีที่แล้ว

    Nice Video sir !!!

  • @kamaldewan6231
    @kamaldewan6231 5 ปีที่แล้ว

    fantastic video,,,

  • @Jacky-ju5mj
    @Jacky-ju5mj 4 ปีที่แล้ว +7

    AYEEEE WE HAVE THE SAME STETHOSCOPE

  • @cruelthingsdonenice
    @cruelthingsdonenice 5 ปีที่แล้ว +17

    PLEASE HELP! When he does the accentuation manoeuvres for the aortic regurgitation why does he put the stethoscope on the left sternal edge? Should it not be the right sternal edge of the second intercostal space? Isn't that where the aortic valve is heard best?
    Thank you! Great video :)

    • @bilalahmed5518
      @bilalahmed5518 5 ปีที่แล้ว +4

      well for aortic regurgitation we listen to left sternal border area because in AR volume is coming back to LV, not going forward. For AS one should put the stethoscope to right sternal border at aortic area.

    • @BT-sm3ur
      @BT-sm3ur 5 ปีที่แล้ว +3

      Anatomically the aortic valve is at the left sternal edge. This means that when the blood flows backwards due to the regurgitation, it will rub against the aortic valve which is at the left sternal edge. Listening at the 2nd intercostal space is mostly just for aortic stenosis.

  • @marcusm359
    @marcusm359 ปีที่แล้ว

    These comments have me realizing that people actually watch these for the educational content. I watch them because they’re relaxing.

  • @drnolim8821
    @drnolim8821 6 ปีที่แล้ว +1

    Thanks!!

  • @chrisayers2875
    @chrisayers2875 5 ปีที่แล้ว +9

    Happy Birthday James! Lol.

  • @funkdaddy5641
    @funkdaddy5641 5 ปีที่แล้ว

    Awesome thanks

  • @Dr.Nikita_Jain
    @Dr.Nikita_Jain 3 ปีที่แล้ว

    Superb video

  • @nncprathiba6994
    @nncprathiba6994 4 ปีที่แล้ว

    Easy way to understand

  • @thesoloist2501
    @thesoloist2501 6 ปีที่แล้ว

    Thanks

  • @mohatik1421
    @mohatik1421 3 ปีที่แล้ว

    Thank you

  • @sanjupatil2465
    @sanjupatil2465 5 ปีที่แล้ว

    Ty so much sir

  • @Amira-ld4ev
    @Amira-ld4ev 5 ปีที่แล้ว

    Thanks a lot

  • @dr.kaynatsahar5026
    @dr.kaynatsahar5026 4 ปีที่แล้ว

    Wow good one

  • @raramedia3228
    @raramedia3228 ปีที่แล้ว +2

    What are we meant to feel for in a normal person when assessing the collapsing pulse

  • @MohammedAhmed-hi7ct
    @MohammedAhmed-hi7ct หลายเดือนก่อน +1

    My OSCE medicine exam at 8:00 am after 6 hours

  • @funnygriffins
    @funnygriffins ปีที่แล้ว +3

    He had been final year medical student since 2017

  • @Medics987
    @Medics987 ปีที่แล้ว

    It's very important examination

  • @Muhammad-fi5pz
    @Muhammad-fi5pz 9 หลายเดือนก่อน

    Excellent 👌👍

  • @khalidmaqbool6632
    @khalidmaqbool6632 4 ปีที่แล้ว +3

    Nice 👍...You should have also done clinically palpable P2 and in auscultation aortic regurgitation.(how to check radiation of aortic regurgitation)
    Moreover while palpating all valves of heart you must not remove your thumb from carotid artery as you’re checking for thrill whether systolic or diastolic.
    Thank you very much for sharing this video.
    Dr khalid

  • @v4mohslayer625
    @v4mohslayer625 6 ปีที่แล้ว +1

    Excellent 👌👌👌

  • @olaflai2136
    @olaflai2136 5 ปีที่แล้ว +1

    5:55 i thought I should use the bell for murmurs? or does it really matters?

  • @blesshim1517
    @blesshim1517 5 ปีที่แล้ว +6

    Hiiiiii Isn't JVP something you should measure rather than mere inspection?

  • @orhanarman6671
    @orhanarman6671 4 ปีที่แล้ว

    Helpful

  • @hamzaalam4116
    @hamzaalam4116 ปีที่แล้ว +1

    Great teacher ❤🇵🇰

  • @user-sb8kd7mb8b
    @user-sb8kd7mb8b 6 ปีที่แล้ว

    Thx👍

  • @IqraKhan-se1ny
    @IqraKhan-se1ny 6 ปีที่แล้ว

    THUMBS UP GUYS WOW THANKYOU :D

  • @daniellelutchman485
    @daniellelutchman485 6 ปีที่แล้ว +61

    the angle of the bed for this exam should be 45° right?

    • @Danial97brc
      @Danial97brc 5 ปีที่แล้ว +4

      Yup

    • @mastercamel7902
      @mastercamel7902 4 ปีที่แล้ว

      Not necessarily.
      45 degree is just standard

    • @ianmurithi6150
      @ianmurithi6150 3 ปีที่แล้ว +1

      45 helps when observing for jugular vein distension

  • @kingofcourt5145
    @kingofcourt5145 4 ปีที่แล้ว +2

    Just wanna ask why we hv to auscultate twice for each valve? And the second one with bell?

    • @razsabah5587
      @razsabah5587 4 ปีที่แล้ว

      The bell is used to emphasize the low-pitched sounds, like in third heart sounds and murmurs.

    • @janewijaya9127
      @janewijaya9127 4 ปีที่แล้ว

      we listen to low-pitched sounds with bell --> listen to murmurs

  • @ahmedalbasri7280
    @ahmedalbasri7280 ปีที่แล้ว

    Thanks ...from iraq ..karbala

  • @palaykhan5974
    @palaykhan5974 7 หลายเดือนก่อน

    How can I get written dialogue of this video?

  • @DrAbdullahSubhan
    @DrAbdullahSubhan 5 ปีที่แล้ว +2

    what about checking blood pressure?

    • @Muhamedim
      @Muhamedim 5 ปีที่แล้ว

      a medical procedure, should be done everytime

  • @NawabSDigitalBusiness
    @NawabSDigitalBusiness 5 ปีที่แล้ว +4

    why did we listen to carotids twice, once in the beginning and then for murmur?
    isn't it better if we do it in auscultation section rather than before completing inspection of face and eyes?kindly reply

    • @madena1374
      @madena1374 5 ปีที่แล้ว +1

      You listen to the carotid before palpating to check for any bruit which could indicate thrombi that could then embolise to the brain when palpating

    • @Cat-qn7pm
      @Cat-qn7pm 4 ปีที่แล้ว +1

      You do it at the beginning to see if there is any carotid bruits - implying you should not palpate the carotids, as there is underlying stenosis

  • @doctorrana772
    @doctorrana772 6 ปีที่แล้ว +5

    For aortic regurgitation murmur, you should auscultate over the 5th intercostal space at the left sternal edge, and not over the 2th ic region

  • @Andrew-xj6gh
    @Andrew-xj6gh 5 ปีที่แล้ว +1

    Do you auscultate the aorta with the bell?

  • @kotsverslimme
    @kotsverslimme 6 ปีที่แล้ว +18

    For aortic regurgitation murmur, you auscultate at the left 2nd IC region in the video. Shouldn't this be on the right side, since that's the place of the aortic valve?

    • @geekymedics
      @geekymedics  6 ปีที่แล้ว +8

      Generally auscultating at the sternal edge is fine, the left sternal edge is usually quoted however.

    • @kotsverslimme
      @kotsverslimme 6 ปีที่แล้ว +2

      Ok, thanks for the reply.

    • @mustafafalah282
      @mustafafalah282 6 ปีที่แล้ว +1

      Aortic valve located in the left if Iam not mistaken

    • @VyewVyew
      @VyewVyew 6 ปีที่แล้ว +11

      Remember that you aren't really auscultating the valves directly, you're hearing their transmitted sounds/echoes through the nearest blood vessel/space that's not covered by the sternum or ribs, see this pic www.stethographics.com/heart/images/sites.jpg

    • @xueyingzhu9430
      @xueyingzhu9430 6 ปีที่แล้ว

      but when you listen for aortic murmurs, you put stethoscope at 2nd ICS right sternal edge cuz that's where aortic murmurs radiate to. But I don't get why when you're doing the manoveure to make aortic murmur louder, you put stethoscope on lower left sternal edge?

  • @shayan6941
    @shayan6941 2 ปีที่แล้ว

    hey, if someone benefitted from this, so rIght have i in It so inspiration increases right side murmurs and lEft have E so expiration increases left heart murmur

  • @baron8892
    @baron8892 3 ปีที่แล้ว +1

    Has this examination been updated in any way since because this video was posted
    a while back

  • @koutarobokuto9583
    @koutarobokuto9583 5 ปีที่แล้ว +1

    Why do we assess the temperature of the patient's arms?

    • @flee2321
      @flee2321 5 ปีที่แล้ว

      Kuroo Tetsurou if you need to know for a test, don’t listen to me. Lol. But I’ve always assumed it was for two main reasons. One is blood flow makes it warm and checks that the temp is around what should be expected for the environment. And the second was to make sure they both felt the same. Again making sure there were no irregularities and that the blood flow was the same on both sides. ???

    • @nyamurungibtumusiime4562
      @nyamurungibtumusiime4562 5 ปีที่แล้ว +1

      Temperature is usually used to assess shock.

  • @francish5401
    @francish5401 ปีที่แล้ว

    I wish new doctor was like that but no questions are asked from my Doctor.

  • @smol_chilli_pepper
    @smol_chilli_pepper ปีที่แล้ว

    What is a positive collapsing pulse?

  • @brittanysalmon3404
    @brittanysalmon3404 5 ปีที่แล้ว +18

    Please slow down the words on the videos it’s hard to watch and still keep track of the words 🙏🏽

    • @jakeabc123
      @jakeabc123 5 ปีที่แล้ว +10

      Just change the playback speed to 0.75

    • @hudagal6471
      @hudagal6471 2 หลายเดือนก่อน

      Pause?!

  • @serajwali1606
    @serajwali1606 6 ปีที่แล้ว +17

    you forget mentioning radio-femoral delay. otherwise great video.