Examination of the Praecordium

This video demonstrates the examination of the praecordium, which is regularly the main focus of an OSCE examination.

[@haretha5595]

General inspection from the end of the bed then move to close inspection (scars , skeletal abnormalities, implant cardiac device or an apex beat)
Palpation
First the apex beat most inferior lateral point When it’s found defined the anatomical location of it 5 left intercostal space mid clavicular line
If it’s impalpable start auscultation from 5th IC MCL fell for thrill which is palpable murmur
Feel for parasternal heave
Auscultation apex , tricuspid, aortic, pulmonary , carotid

[@ada3360]

General inspection away from them..
First: Palpate APEX Beat, should be at apex.
Feel for thrills; palpable murmurs
Percussion not done in cardiology examination.
Palpate carotid
Listen to heart by diaphragm of stethoscope; apex, tricuspid, aortic, pumonarry, both carotid arteries
Listen to heart by bell of stethoscope; in same places, listen for murmur (site, radiation, grade, character of murmur)
Breathe in, breathe out, and hold your breath after expiration;
use the bell for mitral area, accentuates murmurs, (mitral stenosis)
Then same thing, after full expiration, put diaphragm in axilla to check mitral regurgitation
Aortic stenosis; after full expiration, diaphragm over carotid
Aortic regurgitation; after full expiration, sit forward. Diaphragm over tricuspid area
Make sure u let the pt breathe in between them and make sure they are okay..

[@nthabisengmatolo6345]

Thank you Sir, this was very thorough and straight to the point.

[@wejdanhussaien4409]

Thanks

[@renkylo2179]

Thank You Sir!!

[@buthainafazza836]

thank you so much!

[@mimimulat1286]

Thank you so much

[@zahrahammad8100]

Great

[@bayanaldrobi6672]

♡

[@abdulrahmansoftah2424]

❤

[@Mushtaq784]

🎉🎉🎉

[@awadood5866]

Best

[@hamayasin3084]

💐

[@nathanjeromin863]

Kind of looked like the examiner was palpating the carotid sinus? In my handout for med school it tells us to avoid doing that.

[@theflyingfish_void]

Carotid arteries can be palpated but one at a time avoiding simultaneously otherwise pt. May go into syncope.

[@NoMercy-oz4ig]

Its precordium not prae