Examination of the CVS Flashcards Preview

MD3001 - Cardiology Clinical > Examination of the CVS > Flashcards

Flashcards in Examination of the CVS Deck (15)
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1

What are you looking for in the hands to assess circulation?

  • warmth
  • capillary refill
  • peripheral cyanosis
  • tar staining
  • clubbing
  • splinter haemorrhages
  • Janeway lesions
  • Olser's nodes
  • Koiloncyhia

2

In general inspection what are are you looking for signs of in the face, eyes and mouth?

  • malar flush
  • pallor
  • clinical anaemia
  • xanthelasmata
  • corneal arcus
  • central cyanosis

3

Tar staining

4

Splinter haemorrhages

5

Clubbing

6

Right = olser's nodes

Left = Janeway's leisons

7

What is malar flush?

High colour over cheek bones with a blush tinge caused by reduced oxugen concentration in the blood

8

What can cause malar flush?

mitral valve disease which occurs after rheumatic fever

9

What is butterfly rash?

Characteristic skin leison of systemic lupus erythematosus (SLE)

10

What is koilonychia?

Abnormality of the nails so they are spoon shaped

11

When does koilonychia occur?

chronic iron deficiency

  • malnutrition
  • GI blood loss
  • Worms
  • GI malignancy
  • coeliac disease

12

What is clubbing?

Changes in the area under and round the fingernails and toenails that occur with some disorders

13

Causes of clubbing

  • Heart and lung diseases that reduce the amount of oxygen
  • Congenital cyanotic heart disease
  • Chronic lung infections (brochiectasis, cyctif fibrosis pr lung abcess)
  • Intertinal lung disease
  • coeliac disease
  • cirrhosis of the liver and other liver disease
  • cancer
  • infective endocarditis

14

Signs of infective endocarditis

  • Fever; low grade and intermittent
  • Heart murmurs
  • Petchiae
  • splinter haemorrhages
  • Olser's nodes
  • Janeway leisons
  • Roth spots (retinal haemorrhages)

15

What is Xanthelasma

sharply demarcated yellowisj flat plaques on the upper and lower eyelids