This is a PowerPoint presentation on Cardiovascular examination for medical students.

1. CARDIOVASCULAR SYSTEM
EXAMINATION
A CLINICAL TUTORIAL LECTURE
WITH SIMULATED CLINICAL PRACTICE
BY
DR MUHAMMAD UBAID
ASSISTANT PROFESSOR OF MEDICINE
DOW UNIVERSITY OF HEALTH SCIENCES

2. MAJOR SYMTOMS ENCOUNTERED
•CHEST PAIN
•DYSPNOEA
•COUGH
•CHEST HEAVINESS
•SYNCOPE
•DIZZINESS
•VERTIGO
•BLACK DISCOLORATION
•CYANOSIS

5. MAJOR SYMTOMS ENCOUNTERED

6. EXAMINATION OF THE CARDIOVASCULAR SYSTEM
1) General Examination (CVS)
2) Examination of the Neck Veins
3) Examination of the Precordium

7. START WITH THE VITALS
•BLOOD PRESSURE (IN BOTH HANDS)
•PULSE
•TEMPERATURE
•RESPIRATORY RATE

8. GENERAL PHYSICAL EXAMINATION RELEVANT TO
CARDIOVASCULAR SYSTEM
•Anemia or Pallor
•Jaundice or Icterus
•Xanthelasma
•Cyanosis
•Clubbing
•Edema
•Signs of Infective Endocarditis

9. XANTHELASMA

10. CYANOSIS
This is a blue discoloration of the skin and mucous membranes caused
by increased concentration of reduced hemoglobin (5g/dl)
Central cyanosis may result from the reduced arterial oxygen saturation
caused by cardiac or pulmonary disease, Intracardiac or extracardiac
shunting. Cardiac causes include pulmonary edema and congenital heart disease.
(e.g. Eisenmenger’s syndrome, Fallot’s tetralogy, TAPVC).
checked around the core, lips, and tongue
Peripheral cyanosis may result when cutaneous vasoconstriction slows
the blood flow and increases oxygen extraction in the skin and the lips.
It is physiological during cold exposure. It also occurs in heart failure,
when reduced cardiac output produces reflex cutaneous vasoconstriction.

11. CENTRAL CYANOSIS

12. PERIPHERAL CYANOSIS

13. CLUBBING

15. CLUBBING

16. EDEMA

17. SIGNS OF INFECTIVE ENDOCARDITIS

18. SIGNS OF INFECTIVE ENDOCARDITIS

20. PULSE

21. EFFECT OF RESPIRATION

23. RATE AND RHYTHM

24. WHERE TO CHECK PULSE

32. RADIO RADIAL AND RADIO FEMORAL DELAY

33. JUGULAR VENOUS PRESSURE

34. JUGULAR VENOUS PRESSURE

35. JUGULAR VENOUS PRESSURE

36. JUGULAR VENOUS PRESSURE

37. JUGULAR VENOUS PRESSURE

42. CHEST WALL DEFORMITIES

43. CHEST WALL DEFORMITIES

47. APEX BEAT

48. MAJOR SYMTOMS ENCOUNTERED

53. APEX BEAT

54. APEX BEAT

55. APEX BEAT

57. GRADING OF MURMURS

58. TYPES OF MURMURS