Cardiovascula and Peripheral Vascular Examination
Dear Writter this are the intructions for the assigment: •
This type of objective data only is required for the following videos: •
Patient: Male, inilials TM 25 yoa, Caucasian. (All findings should be normal)
☆The student should use the Body System Exam rubric as a guide and only document their physical exam findings.
• The student should use medical terminology when documenting the examination findings in the objective section and be specific in documenting each rubric item assessed on video.
This is not a long narrative transcript of the video. • Please use headers and bullet points for organization.
• The student should follow APA format with a title page.
No references are used in a write-up as this is the student’s own physical examination.
☆University Rubric for referance.☆
Cardio and Peripheral Vascular Examination Video/Documentation check list
“All findings are normal”
BLOOD PRESSURE:
· Verbally state to faculty that you would do BP with patient supine and then upright in both arms and compare.
NECK:
· Neck veins: Jugular venous pressure at 30-45 degrees (demonstrate and state the actual measurement)
· Carotids: palpate and verbalize findings
· Carotids: auscultate and verbalize findings
CHEST/TRUNK:
· Visual Inspection: chest wall abnormalities – sternum
· Visual Inspection: apical impulse – verbalize if apical impulse pulsations are visible.
· Visual Inspection: precordial pulsations – verbalize if there are any pulsations visible.
Palpation:
· Palpation: point of maximum intensity (PMI) – describe
· Palpation: thrills, leaves, lifts in all auscultatory areas
· Palpation: palpate abdominal aorta and describe
Auscultation:
· Auscultate with diaphragm in all four areas A-P-T-M
· Auscultation: auscultate with bell in all four areas A-P-T-M
· Auscultation: auscultate with bell/diaphragm at Erb’s point
· Auscultation: auscultate for physiological splitting of S2 (describe the reason for splitting and best heard on inspiration)
· Auscultation: auscultate abdominal aorta and describe
· Auscultation: patient instruction
PERIPHERAL EXAM:
· Observe all four extremities for color, warmth, presence of abnormalities including edema, varicose veins, shunts.
· Radial Pulses – describe/grade.
· Brachial Pulses – describe/grade.
· Femoral Pulse (auscultate with bell and diaphragm and palpate) – describe/grade.
· Popliteal Pulse – describe/grade.
· Dorsalis Pedis Pulse – describe/grade.
· Posterior Tibial Pulse – describe/grade.
· Cap refill in fingers and toes.
· Check fingers for clubbing, cyanosis, splinter hemorrhages, tar staining.