The Cardiovascular Exam / Heart Sounds (Strong Exam)

A deep dive on the "core" cardiovascular exam - the exam of the heart and blood vessels that one would perform on a new primary care patient, or on a patient being admitted to the hospital for an issue not directly related to the heart. I discuss pulses, edema, JVP, carotid bruits, and heart sounds and murmurs. https://www.seevid.ir/fa/w/r9uo6Ljza6U Introduction https://www.seevid.ir/fa/w/r9uo6Ljza6U Review of anatomy https://www.seevid.ir/fa/w/r9uo6Ljza6U Pulses https://www.seevid.ir/fa/w/r9uo6Ljza6U Edema https://www.seevid.ir/fa/w/r9uo6Ljza6U JVP https://www.seevid.ir/fa/w/r9uo6Ljza6U Carotid auscultation https://www.seevid.ir/fa/w/r9uo6Ljza6U Cardiac auscultation https://www.seevid.ir/fa/w/r9uo6Ljza6U Documentation References: McGee S. Evidence Based Physical Diagnosis. 5th Ed. Elsevier; 2021. Constant J. Bedside Cardiology. 5th Ed. Lippincott, Williams & Wilkins; 1999. Bloomfield RA, et al. Recording of Right Heart Pressures in Normal Subjects and in Patients with Chronic Pulmonary Disease and Various Types of Cardio-Circulatory Disease. J Clin Invest. 1946;25:639-664. Sauve JS, et al. The Rational Clinical Examination. Does This Patient Have a Clinically Important Carotid Bruit? JAMA. 1993; 270:2843-2845. Heyman A, et al. Risk of Stroke in Asymptomatic Persons with Cervical Arterial Bruits. NEJM. 1980; 302:838-841. Aronson L, Landefeld CS. Examining Older People for Carotid Bruits: Listen To Your Patient, Not Her Neck. J Gen Intern Med. 1998; 13:140-141. McColgan P, et al. Evaluation of the Clinical Utility of a Carotid Bruit. Q J Med. 2012; 105:1171-1177. Pickett CA, et al. Carotid Bruits and Cerebrovascular Disease Risk: A Meta-Analysis. Stroke. 2010; 41:2295-2302. Wang CS, et al. Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? JAMA. 2005; 294:1944-1956. Etchells E, Bell C, Robb K. Does This Patient Have an Abnormal Systolic Murmur? JAMA. 1997; 277:564-571. Additional image & video credits: Rib cage: Adapted from Gray's Anatomy. In Public Domain. Heart: Heart model.png uploaded to Wikimedia Commons by BruceBlaus. Downloaded February 2024. JVP demonstration: The Jugular Venous Pulse (1957). Provided by the Wellcome Collection under CC BY NC 4.0. https://www.seevid.ir/fa/w/YxsDWRPgMgo Stethoscope: Stethoscope 1.jpg uploaded to Wikimedia Commons by user Ernstl under CC BY SA 2.0. Downloaded February 2024. #physicalexam #cardiology #OSCE

• #education
• #cardiac_exam
• #heart_sounds
• #heart_murmurs
• #jugular_vein
• #jugular_venous_pulsation