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    Pericardial Exam

    Uploaded by

    Ahmed Ayasrah
    The document provides a checklist for performing a physical examination of the pericardium, including inspection of the chest wall and neck, palpation techniques for assessing the apex beat and thrills, auscultation of the heart valves, and maneuvers to detect murmurs. It also includes questions to test the examiner's knowledge of interpreting physical exam findings and what to do if the apex beat cannot be located.

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    © All Rights Reserved
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    Pericardial Exam

    Uploaded by

    Ahmed Ayasrah
    20 views3 pages
    The document provides a checklist for performing a physical examination of the pericardium, including inspection of the chest wall and neck, palpation techniques for assessing the apex beat and thrills, auscultation of the heart valves, and maneuvers to detect murmurs. It also includes questions to test the examiner's knowledge of interpreting physical exam findings and what to do if the apex beat cannot be located.

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    pericardial-exam

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    The document provides a checklist for performing a physical examination of the pericardium, including inspection of the chest wall and neck, palpation techniques for assessing the apex beat and thrills, auscultation of the heart valves, and maneuvers to detect murmurs. It also includes questions to test the examiner's knowledge of interpreting physical exam findings and what to do if the apex beat cannot be located.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views3 pages

    Pericardial Exam

    Uploaded by

    Ahmed Ayasrah
    The document provides a checklist for performing a physical examination of the pericardium, including inspection of the chest wall and neck, palpation techniques for assessing the apex beat and thrills, auscultation of the heart valves, and maneuvers to detect murmurs. It also includes questions to test the examiner's knowledge of interpreting physical exam findings and what to do if the apex beat cannot be located.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Yarmouk University

    OSCI Simulation

    Student’s name …………………………………………………………….

    Physical Examination/pericardial examination

    Questions Mark Student’s mark


    Hand washing 1
    Introduce yourself 1
    Gain consent 1
    Room settings 1
    (privacy, temp and light)
    Exposure 1
    (above the waist)
    Position 1
    (45-degree)
    Vital signs 1/2
    Inspection
    From the right side of the patient:
    Chest wall deformities 1
    (pectus excavatum, pectus carinatum…)
    Surgical scars 1
    (midline sternotomy scar, left submammary scar, infraclavicular
    scar…)
    Scars in the axillary area 1
    Neck inspection 1
    (jugular veins, carotid arteries)
    Visible pulsation 1
    Dilated veins 1/2
    Skin rash 1/2
    Gynecomastia 1/2
    Palpation
    warm his hand 1/2
    Ask for any tender area on the chest 1
    General palpation of the chest with maintaining eye-to-eye 1
    contact
    palpate the apex beat 2
    (assess the character and position)
    Heave 1
    Apply the heel of the right hand firmly to the left parasternal
    area and ask the patient to hold their breath in expiration
    Thrill 1
    Palpate for trills using the pulps of your fingers at the apex and
    both sides of the sternum
    Auscultation
    Warming the device 1/2
    Auscultation the heart valves using diaphragm whilst palpating 1
    the radial pulse:
    Mitral valve (5th left ICS, midclavicular line) 1
    Tricuspid valve (4th ICS at lower left sternal edge) 1
    Pulmonary valve (2nd ICS at the left sternal edge) 1
    Aortic valve (2nd ICS at the right sternal edge) 1
    Repeat the auscultation using the bell 1
    Radiation of the murmurs:
    Listen to the carotid arteries (radiation of aortic stenosis 1
    murmur)
    Listen to the left axilla (radiation of mitral regurgitation) 1
    Auscultation for murmurs maneuvers:
    Roll patient to the left side then listen to the apex by the bell 1
    (mitral stenosis)
    Ask the patient to sit up and lean forward, breath out fully and 1
    hold their breath then listen by diaphragm to aortic area and
    left sternal edge (aortic regurgitation)

    Cover and thank the patient 1


    Hand washing 1

    Questions:

    Q; What you should do if you can’t locate (feel) the apex beat?

    *ask the patient to roll on to their left side then try to feel it again

    Q; What dose pulsation (heave) over left parasternal area indicate?

    *right ventricular hypertrophy or dilatation

    Q; Mention 2 cases in which the apex beat may be impalpable?

    *in overweight or muscular people

    *patient with asthma or emphysema (lungs are hyperinflated)

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