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INTRODUCTION
Wash hands
INSPECTION
GENERAL INSPECTION
o Do they look ill? If so, in what way? Are they short of breath at rest? Is there
cyanosis?
o Look for:
Scars
Patient comfort
PERIPHERAL PULSES
o Rate: normal = 60-100
o Rhythm
Regular
Irregularly irregular
Regularly irregular
Intermittent interruptions
o Character/waveform (best assessed in carotid)
ARM
o
JVP
o
o
Ask patient to turn head and e.g. look up to the corner of the room
MOUTH
Ask patient to protrude tongue and open wide; look for high-arched
palate is Marfans suspected
PALPATION
Palpate for apex beat in the 5th IC space in the mid-clavicular line
o State if this is normal
Palpate carotid
ASCULTATION
Then 4 heart areas turn patient left lateral for mitral and listen with bell and
diaphragm
o State which area you are testing
Thank patient
Wash hands
Summarise
Candidate Task 1:
Done / correct
1
1
0
0
1
1
0
0
0
1
1
1
0
0
0
0
1
1
1
1
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
Borderline
Pass
Candidate Task 2:
Done / correct
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pass
Candidate Task 3:
Done / correct
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pass