Cardiovascular Examination – OSCE Guide
November 17, 2019
Hi there my name’s Or students could I just check your name and date of birth Please sure it’s James Alexander 33 December 1989 nice to meet you James and today I’ve been asked to examine your heart. This will involve looking from the end of the bed Feeling a pulse in your neck and your wrist and also listening to the heart as well would that be okay, that’s fine Have you only pain anywhere before we begin? Have you any questions? 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 James I’d like to start by looking you could just bring them up in France if you please Over Fingernails together like this for me 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 You And I like to feel the pulse in your wrist And now we’re going to fill the posting of the wrists at the same time Gems are now going to assess for something called a collapsing pulse so in this I’m just going to have my hand on your wrist and raise your right arm rather briskly You have any pain in your right shoulder at all before I begin no idea, okay? That’s fine you can relax, I’m now going to feel a pulse at the front of the elbow 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 me I breathe normally. I’m not gonna feel the pulse Could you just turn your head to the left for me James you have any pain in your tummy at all no I I’m just gonna press down on your tummy You And bring your head back genital now get up look at your face nice. Okay, if you could just look straight ahead for me I’m now going to pull down on your lower eyelid If you could just open your mouth for me And lift your tongue to the roof of the mouth That’s great I’d now like to more closely inspect the chest You could just lift your right arm up for me And your left arm I’m now going to feel for a pulse on the chest You Gems are now gonna listen to your chest, and I’ll be feeling the pulse on your neck at the same time, okay You I’ll sit forward for me deep breath in and out hold it there And breathe normally And roll onto your left hand side for me Deep breath in and out I’ll hold it there and breathe normally James I’m now gonna listen to the back of your chest if you could just sit forward for me I’m just gonna fill at the bottom of your back I’m now gonna press on your ankles James that completes the examination, thank you very much, you can now get dressed In summary I performed a cardiovascular exam on James a 27 year old male On inspection he had no peripheral stigmata of cardiovascular disease His pulse was regular on palpation He had an undisplaced apex, and he had no heaves or thrills on auscultation He had normal first and second heart sounds with no added sounds. This was a normal cardiovascular exam to complete I’d like to do a full peripheral vascular exam Look at an ECG and measure James’s blood pressure You
Learn clinical skills on the move and support us in producing more awesome videos with the Geeky Medics app https://geekymedics.com/geeky-medics-app/ 👾💉🎉
Very nice ly explained…thnx for this video
first
Wow, heart sounds as well? Thanks guys.
Who's watching this video for ASMR?
Was totally wondering what ever happened with Andrew it’s awesome to see a new video 🤙
Thanks for posting!
My osce examination gonna be tomorrow.. and you just make me waiting for it. Thank you🙏🏻
Thanks!!
I love this video, thank you so much! So interesting with all the sounds!!
thank you guys, that was amazing!
For aortic regurgitation murmur, you auscultate at the left 2nd IC region in the video. Shouldn't this be on the right side, since that's the place of the aortic valve?
This is a well done video! Do you auscultate Erb's space in the UK?
Thank you !!
Where is my boy Simon? SIMON, MY MAN!
Awesome addition of heart sounds guys.
can you make a video of how to differentiate 1st and 2nd heart sounds also added sounds
Andrew has been a final year med school for sooo long lol. 😉
Thanks guys ❤️❤️
Thanks
Excellent 👌👌👌
Thank you sir, you are the best.
you forget mentioning radio-femoral delay. otherwise great video.
For aortic regurgitation murmur, you should auscultate over the 5th intercostal space at the left sternal edge, and not over the 2th ic region
THUMBS UP GUYS WOW THANKYOU 😀
Wow, another amazing video. Thank you guys for including the heart sounds, including murmurs and regurgitations. Awesome work!
the angle of the bed for this exam should be 45° right?
This is everything I needed in a video. Thank you for the effort , y’all know what you’re doing
Thx👍
👍🏻👍🏻🌸
I love this video, it’s cool
Why do we assess the temperature of the patient's arms?
Heart sounds …..amazinnģ!!!!
Great effort 🌷 thanks alot doctors🌺🌺
Wonderful presentation. These videos have been so useful.
Thank you!
Nice Video sir !!!
i have an osce tomorrow thanks!!!
Wow. Very useful. Subscribed
Happy Birthday James! Lol.
Thanks a lot
why did we listen to carotids twice, once in the beginning and then for murmur?
isn't it better if we do it in auscultation section rather than before completing inspection of face and eyes?kindly reply
what about checking blood pressure?
Hiiiiii Isn't JVP something you should measure rather than mere inspection?
5:55 i thought I should use the bell for murmurs? or does it really matters?
Do you auscultate the aorta with the bell?
Jims Alexander 13/ December 1999 thus 20 years of age not 27 lol!! just saying!!
thanks dr this is so helpful
Awesome thanks
Love the accent! Thanks guys!
WOW! Thank you for this video
when attendind an OSCE, do you have to dress appropriately like a doctor?
PLEASE HELP! When he does the accentuation manoeuvres for the aortic regurgitation why does he put the stethoscope on the left sternal edge? Should it not be the right sternal edge of the second intercostal space? Isn't that where the aortic valve is heard best?
Thank you! Great video 🙂
Please slow down the words on the videos it’s hard to watch and still keep track of the words 🙏🏽
fantastic video,,,
You need to keep your hand in carotid while palpating thrill to differentiate whether systolic thrill or diastolic.
Ty so much sir
Thank you ,these videos are very helpful.
Your videos are extremely helpful! Thank you so much! 🙂
That's a great video. Many thanks from Poland!
Why does James keep going to the doctor when there's nothing wrong with him?
Excellent video
Just wanna ask why we hv to auscultate twice for each valve? And the second one with bell?
Avesome😀😀
Thank you for your valuable information
Helpful