Cardiovascular exam

Añadido: 2026-05-17

[00:00:00]Okay. So, hi, my name is Emily. I'm the physician assistant student and today we're going to be performing a chest and cardiovascular exam. So, just go ahead and take off your shirt, shoes, and socks while I go wash my hands. Okay.

[00:00:20]All right. So, I'm going to be assessing the rate rhythm and expirations and assessing for the use of accessory muscles or respiratory distress and I'm also going to be comparing the anterior posterior to transverse side. I'm making sure that it's approximately one to two.

[00:00:41]And now I'm going to start the posterior and lateral uh chest exam. So go ahead and move your feet over that way here.

[00:00:48]Okay. So I'm just going to be palpating and just making sure that there aren't any tenderness or deformities. And when you feel my hands just go ahead and say 99. I'm going to testing the uh and comparing the vibrations bilaterally. So go ahead. 99 99 99.

[00:01:08][Music] All right. Perfect. And I'm also going to be testing or helping the thoracic expansion for symmetry respiratory effort. So go ahead and take a deep breath and out.

[00:01:24]All right. Perfect. And now just make sure that your arms are crossed. I'm going to be uh palpating um and percussing and just comparing the res and making sure there's no resonance or comparing the sides of resonance and donus and comparing the sides bilaterally.

[00:02:07]All right. And now I'm going to be oscultating in those same sides and listening for the presence of rails bronchio wheezes. And I'm also going to be listening to one full cycle of inhalations and expirations at each point. So when you feel my stethoscope, just take a deep breath in and out through your mouth. Okay?

[00:03:54]Perfect. And now we're going to be doing the same in the antior chest. So just go ahead and flat on here.

[00:04:02]All right. So I'm just going to be um palpating and making sure that there aren't any tenderness or deformities.

[00:04:10]And now I'm also going to be uh palpating the diaphragm for symmetry of respiratory effort. So just go ahead and take a deep breath and out.

[00:04:22]Perfect. And I'm also going to now be testing tactile and comparing the vibrations bilaterally. So when you feel my hands just say 99 99.

[00:04:36]All right. Perfect. And now I'm going to be percussing and checking if uh the checking for the presence of resonance or dullness. So I'm start here sides.

[00:05:21]All right, perfect. And now I'm going to be oscultating those same sides and just listening for the presence of rails wrong wheezes. And I'm going to be listening for one full cycle of inhalations and expirations at each point. So just breathe in and out through your mouth when you feel my stethoscope.

[00:06:48]All right, perfect. So, now we're going to be moving on to the cardiovascular exam. So, I'm just going to be raising the head of the bed 30°.

[00:06:59]All right, perfect. So, I'm just going to start off by inspecting the jugular veins and just making sure that there aren't any distensions or abnormal pulsation. So, just go ahead and look that way. And I'm using additional lighting for this and the other Perfect. And now I'm going to be oscultating the corateed arteries and listening for the presence of breweries.

[00:07:22]So I'm just going to be using the bell side of my stethoscope for this. And when you feel my stethoscope, just take a deep breath and hold it. So just go ahead and look that way. Take a deep breath. Hold it.

[00:07:36]All right. Perfect. On the other side.

[00:07:42]Perfect. And I'm going to be percussing the or sorry palpating the corateed arteries and just checking the rate rhythm and amplitude of them.

[00:07:54]All right, perfect. And now I'm going to be assessing the precordium and noting any abnormal wall movements and or apical pulses. Perfect. And now I'm going to be uh palpating um some areas on her chest and just looking for any uh thrills, heaves or lifts. So I'm going to start off with um aortic area with the ball of my hand.

[00:08:21]Now pulmonic herbs pointing to go in tricuspid and natural area.

[00:08:39]Right. While I'm here, I'm going to be assessing the point of maximal impulse.

[00:08:42]So I'm going to use four fingers and narrow it down to about one. And I'm just looking for the rise and um motion of it and I'm assessing that it's a light tap. Okay, perfect. And now I'm going to be oscultating those same areas with the bell and diaphragm side of my stethoscope and just listening for uh the presence of the S1 and the S2 and if there's any S3, S4 murmurs, gaps, murmurs, gallops or rubs. So, I'm going to start off with the diaphragm side, and I'm going to be palpating the cor the corateed artery at the same time.

[00:09:22]So, go ahead and look that way. All right.

[00:09:44]And the bell side. The same thing.

[00:10:04]All right. Perfect. And now I'm going to begin my peripheral vascular exam. So I'm assessing the upper and lower extremities for parlor sinosis um symmetry or edema. And I'm also going to be assessing capillary refill and just ensuring that it is about 2 seconds or less.

[00:10:26]Perfect. And on her toes as well.

[00:10:31]Okay. And now I'm going to also be palpating the um epitle and lymph nodes and just checking for orma. So, I'm going to start here.

[00:10:43]All right. The other side.

[00:10:48]Okay. And the anguino I'm going to start horizontal and move laterally.

[00:10:55]Okay. Perfect. And now I'm going to be palpating the following uh pulses for rate, rhythm, and amplitude and comparing symmetry on both sides. So, I'm going to start with her brachial.

[00:11:08]Okay. Then the other side and radial this side.

[00:11:21]Okay. And now I'm going to be prepping the femoral.

[00:11:28]Okay. Now the go.

[00:11:33]Okay. The other side.

[00:11:38]Okay. And now I'm going to be popping her posterior tibialis other side.

[00:11:48]Okay. And dors pus. Dorsal pis.

[00:11:56]Okay. Perfect. So now I'm going to be listening to a couple arteries in her abdomen and just making sure that um there aren't any breweries present. So I'm going to lower the bed and I'm just going to be listening with the bell side of my diaph of my stethoscope.

[00:12:19]Okay. So we're going to start with the aorta, the renal arteries.

[00:12:30]lower this a little bit.

[00:12:34][Music] Okay. And the femoral which I would also say under clothing.

[00:12:47]Okay. And now last thing I'm going to be palpating the abdominal aorta and just ensuring that the width is about 2 to 3 cm. So, I'm going to come and reach in here.

[00:13:01]Okay, perfect. It's about 2 cm in length. That's it. Bye.