8 What are the different characters of arterial pulses ? Wrist + ArmRadial PulseRateRhythmVolumeCharacterRadio-radial delayRadio-femoral delayBlood PressureWhat are the different characters of arterial pulses ?
15 Pericardium Palpation Apex Beat - Site - Size - Character Heave Thrill What can you do if you couldn’t feel the apex beat?What are the possible causes of difficult apex beat palpation?What are the different characters of apex beat?
16 Pericardium Auscultation Carotid Aortic area Pulmonary area Axilla Tricuspid areaMitral area = Apex beat
18 How to present your findings: S1 & S2Splitting of S2Added soundsMurmurWhat are the causes of loud S1 & S2 ?What are the causes of soft S1 & S2 ?What are the causes of wide, fixed & reversed splitting of S2 ?What are the causes of S3 & S4 ?
19 What are the timing and sub timing of cardiac murmurs ? How to present a sound of murmur:TimingSub timingRadiationGradeArea of greatest intensityWhat are the timing and sub timing of cardiac murmurs ?
20 Dynamic Maneuver All murmur increase with increases of venous return Except inHOCM & MVPSquatting to standingStanding to squattingValsalva maneuverRespiration:InspirationExpirationIsometric exercise (hand grip)
21 BackPalpate for sacral edemaAuscultate lung bases