Cardiovascular Examination - OSCE Guide

Cardiovascular Examination - OSCE Guide


Cardiovascular Examination - OSCE Guide

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This video aims to give you an idea of what’s required in the Cardiovascular Examination OSCE.

Normal heart sounds and aortic regurgitation/stenosis sounds
Recorded on a Thinklabs Digital Stethoscope (https://www.thinklabs.com)

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Chapters:
- Introduction 00:00
- General inspection 00:35
- Inspection of the hands 00:46
- Schamroth’s window test 01:07
- Assessment of temperature and capillary refill 01:17
- Pulse, radio-radial delay and collapsing pulse 01:35
- Auscultation for carotid bruits 02:21
- Palpation of carotid pulse 02:43
- Jugular Venous Pressure 02:55
- Hepatojugular reflux 03:09
- Inspection of the eyes, face and mouth 03:21
- Inspection of the chest 03:49
- Palpation of apex beat 04:12
- Assessment for heaves and thrills 04:28
- Auscultation of mitral valve 04:49
- Auscultation of tricuspid valve 05:08
- Auscultation of pulmonary valve 05:13
- Auscultation of aortic valve 05:18
- Auscultation for aortic stenosis murmur 05:35
- Accentuation manoeuvre - aortic murmurs 05:45
- Accentuation manoeuvre - mitral murmurs 06:00
- Auscultation of lung bases 06:23
- Palpation for sacral and pedal oedema 06:43
- Summary of findings and further investigations 07:10
- Production disclaimer 07:50
- Credits 07:55

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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.

Some people have found this video useful for ASMR purposes.


Content

11.77 -> Hi there my name's
14.059 -> Or students could I just check your name and date of birth
16.129 -> Please sure it's James Alexander 33 December 1989 nice to meet you James and today
21.5 -> I've been asked to examine your heart. This will involve looking from the end of the bed
25.439 -> Feeling a pulse in your neck and your wrist and also listening to the heart as well would that be okay, that's fine
30.869 -> Have you only pain anywhere before we begin?
33.36 -> Have you any questions?
35.19 -> Okay, James. We can start the exam now, and I'm just going to start by having a look from the end of the bed
46.72 -> James I'd like to start by looking you could just bring them up in France if you please
58.42 -> Over
68.4 -> Fingernails together like this for me
75.87 -> And again if you could just bring your arms out in front of you, I'm just going to assess the temperature of your arms
89.13 -> You
95.42 -> And I like to feel the pulse in your wrist
104.18 -> And now we're going to fill the posting of the wrists at the same time
112.7 -> Gems are now going to assess for something called a collapsing pulse so in this
116.229 -> I'm just going to have my hand on your wrist and raise your right arm rather briskly
119.39 -> You have any pain in your right shoulder at all before I begin no idea, okay?
131.709 -> That's fine you can relax, I'm now going to feel a pulse at the front of the elbow
142.09 -> Okay gems are now going to listen and I feel a pulse in the neck when I'm listening if you could hold your breath for
147.18 -> me
160.6 -> I breathe normally. I'm not gonna feel the pulse
174.74 -> Could you just turn your head to the left for me
183.54 -> James you have any pain in your tummy at all no I I'm just gonna press down on your tummy
195.91 -> You
199.96 -> And bring your head back genital now get up look at your face nice. Okay, if you could just look straight ahead for me
211.51 -> I'm now going to pull down on your lower eyelid
219.17 -> If you could just open your mouth for me
222.319 -> And lift your tongue to the roof of the mouth
226.31 -> That's great
228.739 -> I'd now like to more closely inspect the chest
242.549 -> You could just lift your right arm up for me
248.21 -> And your left arm
251.99 -> I'm now going to feel for a pulse on the chest
261.209 -> You
290.22 -> Gems are now gonna listen to your chest, and I'll be feeling the pulse on your neck at the same time, okay
302.139 -> You
348.86 -> I'll sit forward for me deep breath in and out hold it there
357.92 -> And breathe normally
363.11 -> And roll onto your left hand side for me
369.62 -> Deep breath in and out I'll hold it there and breathe normally
384.08 -> James I'm now gonna listen to the back of your chest if you could just sit forward for me
402.45 -> I'm just gonna fill at the bottom of your back
414.28 -> I'm now gonna press on your ankles
423.44 -> James that completes the examination, thank you very much, you can now get dressed
430.919 -> In summary I performed a cardiovascular exam on James a 27 year old male
436.99 -> On inspection he had no peripheral stigmata of cardiovascular disease
441.729 -> His pulse was regular on palpation
444.539 -> He had an undisplaced apex, and he had no heaves or thrills on auscultation
450.599 -> He had normal first and second heart sounds with no added sounds. This was a normal cardiovascular exam to complete
457.8 -> I'd like to do a full peripheral vascular exam
460.93 -> Look at an ECG and measure James's blood pressure
471.61 -> You

Source: https://www.youtube.com/watch?v=XU_xeUMJ3Zc