What would you look for in the hands?
Splinter haemorrhages, tar staining, peripheral cyanosis capillary refill, xanthomata, clubbing, Osler’s nodes, Janeway lesions
What do you look for in the face?
Corneal arcus, malar flush, xantholasma, pallor
What position should a patient be in for a precordial exam?
45 degrees
What parts of the stethoscope should be used when auscultating heart sounds?
Both bell and diaphragm
Sit up and breath in manoeuvre is for what?
Aortic regurgitation
Turning the patient to the left side manoeuvre is for what?
Mitral stenosis
What are you looking for when inspecting peripheral limbs?
Colour, skin quality, hair, amputations, ulcers
What should you palpate for after feeling for pulses in a peripheral vascular exam?
Capillary refill and peripheral oedema
What special test should you do for a peripheral vascular exam?
Buerger’s test- lift legs at 45 degrees for two minutes and turn patient back to put legs over bed
What is a sign of ischaemia in the Beurgers test?
Pallor in the legs quickly
Where is the V1 lead of an ECG placed?
Fourth intercostal space, right sternal edge
Where is V2 lead of an ECG placed?
Fourth intercostal space, left sternal edge
Where is V3 ecg lead placed?
Between V2 and V4
Where is V4 ECG lead placed?
Fifth intercostal space, mid-axillary line
Where is V5 ECG lead placed?
Same level as V4, anterior axillary line
Where is V6 ECG lead placed?
Same level as V4, mid-axillary line
Where is the red ECG lead placed?
Right arm
Where is the yellow ECG lead placed?
Left arm
Where is the green ECG lead placed?
Left leg
Where is the black ECG lead placed?
Right leg
What medication should you specifically look for in an end of bed check?
GTN spray
How can you describe the rate of a pulse?
Normal, bradycardic, tachycardic
How can you describe the rhythm of a pulse?
Regular, irregular, irregularly irregular
How can you describe the volume of a pulse?
Normal, thready, bounding
