CARDIAC ASSESSMENT QS&AS 2024 A+
Orthopnoea - ANS-Shortness of breath when lying flat
Malar flush - ANS-plum-red discolouration of the cheeks associated with mitral stenosis
what do splinter haemorrhages indicate - ANS-infective endocarditis
koilonychia - ANS-Soft spoon nails with a concave sha...
CARDIAC ASSESSMENT QS&AS 2024 A+ Orthopnoea - ANS-✔✔ Shortness of breath when lying flat Malar flush - ANS-✔✔ plum -red discolouration of the cheeks associated with mitral stenosis what do splinter haemorr hages indicate - ANS-✔✔ infective endocarditis koilonychia - ANS-✔✔ Soft spoon nails with a concave shape that appear scooped out associated with b12 and anaemia Osler vs Janeway - ANS-✔✔ Osler nodes painful, affects fingers/ toes, purple pink with pale center, subacute endocarditis, lasts hours to days Janesway lesions painless, typically affects palms/ soles, acute endocarditis, lasts days to weeks Corneal arcus - ANS-✔✔ Lipid deposits in the peri phery of the eye that may be detected when light is directed to the iris xanthelasma - ANS-✔✔ soft, raised yellow plaques occurring on the skin at the inner corners of the eyes - happens with hypercholerstemia s/s chest ca - ANS-✔✔ Head, neck and arms all a ppear swollen with a reddish complexion. Pemberton's sign - what is it - ANS-✔✔ Pemberton's sign/manoeuvre Clinical test used to assess for Superior vena cava syndrome. If this manoeuvre (hands above head) leads to facial flushing, bluish skin discoloration , or difficulty breathing, it may indicate obstruction of the superior vena cava. Cardiac causes of JVP - ANS-✔✔ Right -sided heart failure Pulmonary hypertension chronic obstructive pulmonary disease interstitial lung disease Tricuspid regurgitation infect ive endocarditis rheumatic heart disease. Constrictive pericarditis rheumatoid arthritis tuberculosis Angular stomatitis - ANS-✔✔ a common inflammatory condition affecting the corners of the mouth by causing redness and cracking. It has a wide range of cau ses including iron deficiency. what is a collapsing pulse associated with - ANS-✔✔ commonly associated with aortic regurgitation. Whilst the patient is reclined, raise the patients arm vertically whilst holding the muscular part of the forearm. A positive test is when you can feel a tapping impulse through the bulk of the muscles. Corrigan's pulse - ANS-✔✔ is a bounding carotid pulse, characterized by a rapid systolic rise and a rapid diastolic collapse. What are heaves and thrills? and what part of the hand are they felt by? - ANS-✔✔ THRILL - Palpable murmur, with calus part of hand HEAVE - Lifting of the hand, with bottom of hand heaves - what is it, how do you test it, what does it mean - ANS-✔✔ A parastern al heave is a precordial impulse that can be palpated. Place the heel of your hand parallel to the left sternal edge (fingers vertical) to palpate for heaves. If heaves are present you should feel the heel of your hand being lifted with each systole. Right ventricular hypertrophy.
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