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Chapter: Medicine Study Notes : Cardiovascular

Lungs, Abdomen and Legs

Percuss and ausciltate lung bases on the back for pulmonary oedema, then check for sacral oedema

Lungs, Abdomen and Legs

 

·        Percuss and ausciltate lung bases on the back for pulmonary oedema, then check for sacral oedema

·        Abdomen:

 

o   Tender or enlarged liver Þ ?heart failure

o   Pulsitile liver Þ ?tricuspid regurgitation

o   Ascites Þ ?heart failure

o   Splenomegaly Þ ?infective endocarditis

·        Legs:

o   Femoral artery pulses: palpate and ausciltate for bruits

o   Popliteal pulse

o   Feel leg pulses both sides at once, standing at end of bed (gives you two chances to find them!):

§  Posterior tibial pulse: posterior to medial malleolus 

§  Dorsalis pedis pulse: just lateral to the extensor hallucis longus tendon (seen when big toe dorsiflexed)

o   Palpate the distal shaft of the tibia for oedema – press for 15 seconds.  If present, note upper level 

o   Cyanosis and clubbing of the toes, pallor, cool, ¯capillary refill of toes

 

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Medicine Study Notes : Cardiovascular : Lungs, Abdomen and Legs |


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