Examination of CVS
Introduction: Good morning Mr. Smith I am Dr. Munagapati Senior House Officer
in the department of Medicine. I would like to have a look at your heart in detail. The examination is going to be painless and it takes a few minutes, but at any time of the examination if you fell uncomfortable let me know. For this examination I have to touch you. If that is all right with you shall we proceed with the examination now? (Consent). Make the patient comfortable in bed.
General Examination Pain; dyspnoea; tachypnoea; cyanosis;
Inspection Hand: Clubbing; cyanosis; splinter haemorrhages; oslers nodes; Radial pulse: pulse rate and describe the pulse; collapsing pulse; Brachial pulse; IV punctures; BP Face: Eyes: Pupils and xanthelasma; anaemia; spider naevi; capillary haemorrhages on the lips; cyanosis on tongue; Neck: JVP; Hepato-jugular reflux;
Chest: Inspection: anatomy; symmetry; scars; respiratory movements; parasternal heave; any abnormalities, dilated vessels, Legs and ankles for oedema
Palpation: Apex beat and parasternal heave.
Auscultation: Mitral area: supine and left lateral if there is any murmur; tricuspid area; aortic and then pulmonary area.
Back Inspection and then auscultation for breath sounds, crackles and crepitations.
Thank and cover the patient.