Cardiovascular Examination | OSCE Guide | UKMLA | CPSA

This video demonstrates how to perform a cardiovascular examination in an OSCE station.
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Chapters:
- Introduction 00:00
- General inspection 00:35
- Hands 00:46
- Schamroth's window test 01:07
- Capillary refill 01:27
- Pulses 01:35
- Carotid auscultation 02:21
- Carotid pulse 02:43
- Jugular venous pressure 02:55
- Hepatojugular reflux 03:09
- Inspection of the face 03:21
- Inspection of the chest 03:49
- Apex beat 04:12
- Heaves and thrills 04:28
- Heart valve ausculation 04:49
- Accentuation manoeuvres 05:45
- Lung base auscultation 06:23
- Sacral and pedal oedema 06:43
- Summary 07:10
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Normal heart sounds and aortic regurgitation/stenosis sounds
Recorded on a Thinklabs Digital Stethoscope (www.thinklabs.com)
Some people have found this video useful for ASMR purposes.
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Пікірлер: 186

  • @geekymedics
    @geekymedics3 жыл бұрын

    Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles

  • @danspitalnik
    @danspitalnik4 жыл бұрын

    If it helps anyone remember it, RILE is a good mnemonic for knowing that Right-sided valve murmurs are louder with Inspiration (RI) and Left-sided are louder with expiration (LE).

  • @showercap7027

    @showercap7027

    3 жыл бұрын

    thank you :)

  • @kenadaniel7623

    @kenadaniel7623

    3 жыл бұрын

    thanks mate

  • @sandhyamishra1528

    @sandhyamishra1528

    3 жыл бұрын

    Thank u

  • @sssena99

    @sssena99

    3 жыл бұрын

    Thanks

  • @rajdhiman6037

    @rajdhiman6037

    3 жыл бұрын

    Thanks man🤞

  • @sean666777888
    @sean6667778886 жыл бұрын

    Andrew has been a final year med school for sooo long lol. ;)

  • @qasimkhan-qv9hi

    @qasimkhan-qv9hi

    5 жыл бұрын

    Hahahah

  • @cristomathew9171

    @cristomathew9171

    5 жыл бұрын

    Yeah poor guy keeps failing his OSCEs

  • @drdj69

    @drdj69

    4 жыл бұрын

    @@cristomathew9171 no. he is currently doing his Masters in America.

  • @maheshbava4166

    @maheshbava4166

    4 жыл бұрын

    @@drdj69 whooooosh

  • @geekymedics
    @geekymedics6 жыл бұрын

    Learn clinical skills on the move and support us in producing more awesome videos with the Geeky Medics app geekymedics.com/geeky-medics-app/ 👾💉🎉

  • @keegan77kh

    @keegan77kh

    6 жыл бұрын

    Hi Guys, have purchased the app and finding it very useful. Just wondering if you have plans to increase the app's content, as I was hoping it to be as extensive as the website. Also, a navigation bar present in a corner would be useful, instead of having to click into each section, to find the guide that you are looking for. Cheers

  • @geekymedics

    @geekymedics

    6 жыл бұрын

    Hey +Keegan Hunter , we’re going to be continually adding to the apps content, with several new sections planned for the next update. In addition we’ll be giving those users supporting us, via the app, early access to our latest content. I’ve taken note of the menu suggestion and it’s certainly something we’ll consider as we continue to improve the app.

  • @keegan77kh

    @keegan77kh

    6 жыл бұрын

    Great to hear :) keep up the awesome work, the website and app have been invaluable for my OSCEs and hospital examinations

  • @geekymedics

    @geekymedics

    6 жыл бұрын

    😊

  • @geekymedics

    @geekymedics

    6 жыл бұрын

    Woah! We feel privileged!

  • @TEEFAB
    @TEEFABАй бұрын

    I had my OSCE exam yesterday. And I must say, this helped me a lot. Although I missed a bit of the assessment, but I think I did well. Thank you so much. ❤

  • @SamOwenI
    @SamOwenI6 жыл бұрын

    Wow, heart sounds as well? Thanks guys.

  • @geekymedics

    @geekymedics

    6 жыл бұрын

    Glad you like the new video :) More coming very soon 🎉

  • @angelalopez6667
    @angelalopez66676 жыл бұрын

    Wow, another amazing video. Thank you guys for including the heart sounds, including murmurs and regurgitations. Awesome work!

  • @nguyenngongocngan8970
    @nguyenngongocngan89704 жыл бұрын

    thank you. I am going to have test about Clinical Skill next week. This video help me to review the lecture. Thank you very much

  • @gamerguy765
    @gamerguy7656 жыл бұрын

    This is everything I needed in a video. Thank you for the effort , y’all know what you’re doing

  • @sheetalsriraman4148
    @sheetalsriraman41484 жыл бұрын

    Your videos are extremely helpful! Thank you so much! :)

  • @Raashmitha12
    @Raashmitha123 жыл бұрын

    Your way of teaching is amazing... It helps to take notes also.. nice !!❣️.. keep on doing.. it makes us to prepare for exams easier...tq..❤️😁

  • @rohu2223
    @rohu2223 Жыл бұрын

    Preparing my osce at the last years, you have been so helpful for me Thank you very much

  • @geekymedics

    @geekymedics

    Жыл бұрын

    That’s fantastic to hear Ro!

  • @Rafus49
    @Rafus494 жыл бұрын

    That's a great video. Many thanks from Poland!

  • @ambi4123
    @ambi41233 жыл бұрын

    This is amazing and very informative ... Thank you ☺️

  • @geetsingh668
    @geetsingh6683 жыл бұрын

    Andrew, you must be so good at your clinical skills as you're practicing for so long and that too with ethics

  • @SalmanHasanRafi
    @SalmanHasanRafi4 жыл бұрын

    Really nice and helpfully explained in easy way..

  • @ariadne1683
    @ariadne16836 жыл бұрын

    I love this video, thank you so much! So interesting with all the sounds!!

  • @josephvinod1350
    @josephvinod13505 жыл бұрын

    Wonderful presentation. These videos have been so useful.

  • @sean2200
    @sean2200 Жыл бұрын

    Poor James. Severe MR, AS and some of the worst AR I’ve ever heard. It’s a miracle he looks so comfortable at rest. Wish him all the best.

  • @oluseyeoluwafemi5135

    @oluseyeoluwafemi5135

    11 ай бұрын

    I doubt those were his actual heart sounds,I guess the producer added those sounds so we have a sense of what the pathology sounds like...

  • @AbuDaia

    @AbuDaia

    9 ай бұрын

    @@oluseyeoluwafemi5135he was being sarcastic relax

  • @drsahiba8763

    @drsahiba8763

    6 ай бұрын

    Those were not real sounds

  • @brightmwape7423
    @brightmwape74235 жыл бұрын

    Thank you ,these videos are very helpful.

  • @thirva95
    @thirva954 жыл бұрын

    This was great guys! Thanks a ton! :)

  • @SamSamSamLawl
    @SamSamSamLawl6 жыл бұрын

    Thanks for posting!

  • @amreza6491
    @amreza6491 Жыл бұрын

    Amazing!!! Thank you so much for this ♥️

  • @amandasethu7657
    @amandasethu76575 жыл бұрын

    WOW! Thank you for this video

  • @etharabdelnasser4237
    @etharabdelnasser42375 жыл бұрын

    Great effort 🌷 thanks alot doctors🌺🌺

  • @ohudyansary
    @ohudyansary5 жыл бұрын

    thanks dr this is so helpful

  • @aksamary9618
    @aksamary96184 жыл бұрын

    Thank you for your valuable information

  • @cadamiproudsomalilander1338
    @cadamiproudsomalilander1338 Жыл бұрын

    Thanks, helped My last OSCE in 2022

  • @sarahmina1442
    @sarahmina14426 жыл бұрын

    thank you guys, that was amazing!

  • @geekymedics

    @geekymedics

    6 жыл бұрын

    Glad you found it useful :)

  • @Dr.HJ99
    @Dr.HJ993 жыл бұрын

    This helps me a lot Thanks

  • @wedawewe5142
    @wedawewe51423 жыл бұрын

    Thanks 🙏🏻 from Libya 🇱🇾

  • @Nurse-Grace
    @Nurse-Grace7 ай бұрын

    So helpful for my DNP skills test out!! Thank you so much for instructing at a reasonable pace and for providing specifics for landmarks and normal vs abnormal sounds and findings! Excellent content!! 🩺

  • @Steinbrecher72
    @Steinbrecher725 жыл бұрын

    I love this video, it’s cool

  • @xxxx-xs5vr
    @xxxx-xs5vr5 жыл бұрын

    i have an osce tomorrow thanks!!!

  • @nabanitadebnath8995
    @nabanitadebnath89956 жыл бұрын

    Very nice ly explained...thnx for this video

  • @user-nw9er7jx2m
    @user-nw9er7jx2m6 жыл бұрын

    My osce examination gonna be tomorrow.. and you just make me waiting for it. Thank you🙏🏻

  • @strethy

    @strethy

    6 жыл бұрын

    how did it go? x

  • @shabibuabdala7816

    @shabibuabdala7816

    4 жыл бұрын

    Nia’am Mater 💗

  • @nyamurungibtumusiime4562
    @nyamurungibtumusiime45625 жыл бұрын

    Heart sounds .....amazinnģ!!!!

  • @drsibisudhan
    @drsibisudhan5 жыл бұрын

    Wow. Very useful. Subscribed

  • @Noor-pz3sv
    @Noor-pz3sv6 жыл бұрын

    Thanks guys ❤️❤️

  • @raskinlex
    @raskinlex3 жыл бұрын

    best ASMR for me

  • @killa-um7ds
    @killa-um7ds6 жыл бұрын

    Thank you !!

  • @jadegarmash4691
    @jadegarmash4691 Жыл бұрын

    This has truly prepared me for my rotation.

  • @bhstone1
    @bhstone16 жыл бұрын

    This is a well done video! Do you auscultate Erb's space in the UK?

  • @VinnithPullavarayar

    @VinnithPullavarayar

    5 жыл бұрын

    In the video he auscultates at Erb's space when the showed aortic regurgitation.. they just didin't mention it as being Erb's space

  • @DrDinooshDeLivera
    @DrDinooshDeLivera5 жыл бұрын

    Thank you!

  • @liabduhliabduh2207
    @liabduhliabduh22076 жыл бұрын

    Thank you sir, you are the best.

  • @Janalejigre34
    @Janalejigre34 Жыл бұрын

    Thank u very much these vidoes help us

  • @medicine-mutasim
    @medicine-mutasim3 ай бұрын

    that's what we needed

  • @FloreFleur
    @FloreFleur4 жыл бұрын

    Excellent video

  • @kryztofsharpe8566
    @kryztofsharpe85664 жыл бұрын

    They sometimes recommend palpating for dextrocardia before looking for the Apex. Most times it is unnecessary but it helps on the of chance it shows up and consultants like to see you do it.

  • @drnolim8821
    @drnolim88216 жыл бұрын

    Thanks!!

  • @laithalpadani8581
    @laithalpadani8581 Жыл бұрын

    Excellent, thanks

  • @kamaldewan6231
    @kamaldewan62315 жыл бұрын

    fantastic video,,,

  • @misskakouei6638
    @misskakouei6638 Жыл бұрын

    👏👏👏many thanks for free teaching for every eager to learn more in a world

  • @thesoloist2501
    @thesoloist25016 жыл бұрын

    Thanks

  • @sanasani4194
    @sanasani4194 Жыл бұрын

    Excellent sir 🙏

  • @PiercedInkedBlatino
    @PiercedInkedBlatino6 жыл бұрын

    Was totally wondering what ever happened with Andrew it’s awesome to see a new video 🤙

  • @geekymedics

    @geekymedics

    6 жыл бұрын

    You’ll be seeing more of him soon :)

  • @v.p_rathwa6312
    @v.p_rathwa63125 жыл бұрын

    Nice Video sir !!!

  • @sacdiyasiman1348
    @sacdiyasiman13482 жыл бұрын

    Waw this is an Amazing thank you so much it helps me allot

  • @funkdaddy5641
    @funkdaddy56415 жыл бұрын

    Awesome thanks

  • @nncprathiba6994
    @nncprathiba69944 жыл бұрын

    Easy way to understand

  • @cruelthingsdonenice
    @cruelthingsdonenice5 жыл бұрын

    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 :)

  • @bilalahmed5518

    @bilalahmed5518

    5 жыл бұрын

    well for aortic regurgitation we listen to left sternal border area because in AR volume is coming back to LV, not going forward. For AS one should put the stethoscope to right sternal border at aortic area.

  • @BT-sm3ur

    @BT-sm3ur

    5 жыл бұрын

    Anatomically the aortic valve is at the left sternal edge. This means that when the blood flows backwards due to the regurgitation, it will rub against the aortic valve which is at the left sternal edge. Listening at the 2nd intercostal space is mostly just for aortic stenosis.

  • @musastuart10
    @musastuart106 ай бұрын

    Suis en train de me préparer pour le examen practical final de Médecine. Merci pour cette vidéo. Bon courage à moi 2:30

  • @Dr.Nikita_Jain
    @Dr.Nikita_Jain3 жыл бұрын

    Superb video

  • @mohatik1421
    @mohatik14213 жыл бұрын

    Thank you

  • @Amira-ld4ev
    @Amira-ld4ev5 жыл бұрын

    Thanks a lot

  • @chrisayers2875
    @chrisayers28755 жыл бұрын

    Happy Birthday James! Lol.

  • @sanjupatil2465
    @sanjupatil24655 жыл бұрын

    Ty so much sir

  • @dr.kaynatsahar5026
    @dr.kaynatsahar50264 жыл бұрын

    Wow good one

  • @danjoellukumbi1115
    @danjoellukumbi1115 Жыл бұрын

    Still enjoy watching this as I prepare for my first internal medicine exam! Thank you! Was just wondering at 5:53 min the aortic regurgitation murmur sounds a lot like continuous murmur and quite machinery, is it not a Patent Ductus Arteriosus murmur ?

  • @MohammedAhmed-hi7ct
    @MohammedAhmed-hi7ctАй бұрын

    My OSCE medicine exam at 8:00 am after 6 hours

  • @raramedia3228
    @raramedia3228 Жыл бұрын

    What are we meant to feel for in a normal person when assessing the collapsing pulse

  • @Jacky-ju5mj
    @Jacky-ju5mj4 жыл бұрын

    AYEEEE WE HAVE THE SAME STETHOSCOPE

  • @v4mohslayer625
    @v4mohslayer6256 жыл бұрын

    Excellent 👌👌👌

  • @Muhammad-fi5pz
    @Muhammad-fi5pz9 ай бұрын

    Excellent 👌👍

  • @orhanarman6671
    @orhanarman66714 жыл бұрын

    Helpful

  • @olaflai2136
    @olaflai21365 жыл бұрын

    5:55 i thought I should use the bell for murmurs? or does it really matters?

  • @Medics987
    @Medics987 Жыл бұрын

    It's very important examination

  • @marcusm359
    @marcusm359 Жыл бұрын

    These comments have me realizing that people actually watch these for the educational content. I watch them because they’re relaxing.

  • @funnygriffins
    @funnygriffins Жыл бұрын

    He had been final year medical student since 2017

  • @DrZeeniakhan

    @DrZeeniakhan

    2 ай бұрын

    😂

  • @daniellelutchman485
    @daniellelutchman4856 жыл бұрын

    the angle of the bed for this exam should be 45° right?

  • @Danial97brc

    @Danial97brc

    5 жыл бұрын

    Yup

  • @mastercamel7902

    @mastercamel7902

    4 жыл бұрын

    Not necessarily. 45 degree is just standard

  • @ianmurithi6150

    @ianmurithi6150

    3 жыл бұрын

    45 helps when observing for jugular vein distension

  • @user-sb8kd7mb8b
    @user-sb8kd7mb8b6 жыл бұрын

    Thx👍

  • @hamzaalam4116
    @hamzaalam4116 Жыл бұрын

    Great teacher ❤🇵🇰

  • @blesshim1517
    @blesshim15175 жыл бұрын

    Hiiiiii Isn't JVP something you should measure rather than mere inspection?

  • @kingofcourt5145
    @kingofcourt51454 жыл бұрын

    Just wanna ask why we hv to auscultate twice for each valve? And the second one with bell?

  • @razsabah5587

    @razsabah5587

    4 жыл бұрын

    The bell is used to emphasize the low-pitched sounds, like in third heart sounds and murmurs.

  • @janewijaya9127

    @janewijaya9127

    4 жыл бұрын

    we listen to low-pitched sounds with bell --> listen to murmurs

  • @DrAbdullahSubhan
    @DrAbdullahSubhan5 жыл бұрын

    what about checking blood pressure?

  • @Muhamedim

    @Muhamedim

    5 жыл бұрын

    a medical procedure, should be done everytime

  • @ahmedalbasri7280
    @ahmedalbasri7280 Жыл бұрын

    Thanks ...from iraq ..karbala

  • @IqraKhan-se1ny
    @IqraKhan-se1ny6 жыл бұрын

    THUMBS UP GUYS WOW THANKYOU :D

  • @palaykhan5974
    @palaykhan59747 ай бұрын

    How can I get written dialogue of this video?

  • @khalidmaqbool6632
    @khalidmaqbool66324 жыл бұрын

    Nice 👍...You should have also done clinically palpable P2 and in auscultation aortic regurgitation.(how to check radiation of aortic regurgitation) Moreover while palpating all valves of heart you must not remove your thumb from carotid artery as you’re checking for thrill whether systolic or diastolic. Thank you very much for sharing this video. Dr khalid

  • @kotsverslimme
    @kotsverslimme6 жыл бұрын

    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?

  • @geekymedics

    @geekymedics

    6 жыл бұрын

    Generally auscultating at the sternal edge is fine, the left sternal edge is usually quoted however.

  • @kotsverslimme

    @kotsverslimme

    6 жыл бұрын

    Ok, thanks for the reply.

  • @mustafafalah282

    @mustafafalah282

    6 жыл бұрын

    Aortic valve located in the left if Iam not mistaken

  • @VyewVyew

    @VyewVyew

    6 жыл бұрын

    Remember that you aren't really auscultating the valves directly, you're hearing their transmitted sounds/echoes through the nearest blood vessel/space that's not covered by the sternum or ribs, see this pic www.stethographics.com/heart/images/sites.jpg

  • @xueyingzhu9430

    @xueyingzhu9430

    6 жыл бұрын

    but when you listen for aortic murmurs, you put stethoscope at 2nd ICS right sternal edge cuz that's where aortic murmurs radiate to. But I don't get why when you're doing the manoveure to make aortic murmur louder, you put stethoscope on lower left sternal edge?

  • @NawabSDigitalBusiness
    @NawabSDigitalBusiness5 жыл бұрын

    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

  • @madena1374

    @madena1374

    4 жыл бұрын

    You listen to the carotid before palpating to check for any bruit which could indicate thrombi that could then embolise to the brain when palpating

  • @Cat-qn7pm

    @Cat-qn7pm

    4 жыл бұрын

    You do it at the beginning to see if there is any carotid bruits - implying you should not palpate the carotids, as there is underlying stenosis

  • @koutarobokuto9583
    @koutarobokuto95835 жыл бұрын

    Why do we assess the temperature of the patient's arms?

  • @flee2321

    @flee2321

    5 жыл бұрын

    Kuroo Tetsurou if you need to know for a test, don’t listen to me. Lol. But I’ve always assumed it was for two main reasons. One is blood flow makes it warm and checks that the temp is around what should be expected for the environment. And the second was to make sure they both felt the same. Again making sure there were no irregularities and that the blood flow was the same on both sides. ???

  • @nyamurungibtumusiime4562

    @nyamurungibtumusiime4562

    5 жыл бұрын

    Temperature is usually used to assess shock.

  • @Andrew-xj6gh
    @Andrew-xj6gh5 жыл бұрын

    Do you auscultate the aorta with the bell?

  • @smol_chilli_pepper
    @smol_chilli_pepper Жыл бұрын

    What is a positive collapsing pulse?

  • @VipulSPanditg

    @VipulSPanditg

    11 ай бұрын

    AR

  • @shayan6941
    @shayan69412 жыл бұрын

    hey, if someone benefitted from this, so rIght have i in It so inspiration increases right side murmurs and lEft have E so expiration increases left heart murmur

  • @francish5401
    @francish5401 Жыл бұрын

    I wish new doctor was like that but no questions are asked from my Doctor.

  • @brittanysalmon3404
    @brittanysalmon34045 жыл бұрын

    Please slow down the words on the videos it’s hard to watch and still keep track of the words 🙏🏽

  • @jakeabc123

    @jakeabc123

    5 жыл бұрын

    Just change the playback speed to 0.75

  • @hudagal6471

    @hudagal6471

    2 ай бұрын

    Pause?!

  • @baron8892
    @baron88923 жыл бұрын

    Has this examination been updated in any way since because this video was posted a while back

  • @carinapan2663
    @carinapan26633 жыл бұрын

    James shares the same birthday as Tswift

  • @doctorrana772
    @doctorrana7726 жыл бұрын

    For aortic regurgitation murmur, you should auscultate over the 5th intercostal space at the left sternal edge, and not over the 2th ic region

  • @Camoflaged3

    @Camoflaged3

    5 жыл бұрын

    Actually 3rd ICS LSB known as erbs point

  • @dorisoppongpoku8885

    @dorisoppongpoku8885

    5 жыл бұрын

    Yes