Approach to Cardiac Exam Flashcards Preview

ECOS 2 Post-Midterm > Approach to Cardiac Exam > Flashcards

Flashcards in Approach to Cardiac Exam Deck (52)
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1

5 finger method

History
Physical
EKG
X-ray
Labs

2

What aspect of the patient's history is common with certain heart diseases?

Familial!

3

What are some familial heart diseases?

Marfan's syndrome
Long QT
Hypertrophic Cardiomyopathy

4

What is the order of the cardiac physical exam?

Inspection
Palpation
Percussion
Auscultation

5

What is the order of the cardiac physical exam?

Inspection
Palpation
Percussion
Auscultation

6

When you auscultate, it should be on?

BARE SKIN

7

Inspecting the patient's ____ is also important

Face
- Down's syndrome, cushnoid, hyperthyroid syndromes have heart problems

8

Barrel chest

Increased A-P diameter

9

Barrel chest is seen with what condition?

COPD

10

Ratio of A-P diameter to transverse diameter in healthy people

1:2

11

Ratio of A-P diameter to transverse diameter in COPD patients

1:1

12

Thrill

Turbulent blood flow causing murmurs

13

Where is the Point of Maximal Impulse (PMI)?

Left 5th ICS at the mid-clavicular line

14

Point of Maximal Impulse is best heard when the patient is in what position?

Supine or Left lateral decubitus

15

Percussion can estimate?

Cardiac size

16

With percussion, you should start where and move where?

Start far left (resonance)
Move medially until the heart is present (dull)

17

S1

Mitral and tricuspid valves CLOSE

18

Where is S1 the loudest?

Apex

19

S1 signifies?

Beginning of ventricular systole

20

S2

Aortic and pulmonic valves CLOSE

21

Where is S2 the loudest?

Base

22

What heart sound can be split?

S2

23

When is S2 split?

During inspiration

24

With a splitting S2, which valve closes later and why?

Pulmonic valve closes later
- Due to more time for right ventricle to deliver blood to lungs during inspiration

25

S3

Due to high pressures and rapid filling across the mitral valve

26

When is S3 normal?

In children

27

S4

Due to forceful atrial contraction against stiffened ventricles

28

Which heart sounds are not normal in adults?

S3 and S4

29

Ken-Tuck-Y

S3

30

Ten-Nes-see

S4