Clinical Skills

Lối Thoát Hiểm

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  Thời Gian Còn Lại


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Put the steps in order for when doing a CVS examination

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Nhấp và kéo

Auscultate lung bases

Sit patient forward and listen over lower left sternal edge with diaphragm in expiration

Wash hands, introduce yourself, ask patient's name and DOB

Hands - clubbing, Janeway lesions, Osler's nodes, splinter haemorrhages, colour, tar

Feel carotid and ausculate valves with bell and diaphragm. Listen to axilla with diaphragm (mitral regurg)

Collapsing pulse

Brachial pulse, mention BP

Listen to carotids with diaphragm/bell whilst patient holds breath

Feel carotids and ask patient to roll on to left side - listen to apex

Feel for thrills (over valves) and heaves (left sternal edge)

Explain reason for exam. and outline what it will consist of

End of bed inspection - GTN, monitors etc, breathless, sweating

Ask about pain/tenderness

Carotid pulses

Cap refill (hold for 5, less than 2 seconds refill)

Palpate apex beat - 5th ICS, mid clavicular

Thank patient and wash hands

Inspect chest - scars, asymmetries

Check for sacral and peripheral oedema

Radial pulse, radio-radial delay

JVP

Face - eyes for xanthalosma, lips, tongue, teeth for dental caries

Pre-warn patient of possible discomfort, gain consent, adequate exposure


448333
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440649
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440643
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440668
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440642
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452885
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