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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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
3 жыл бұрын
thank you :)
@kenadaniel7623
3 жыл бұрын
thanks mate
@sandhyamishra1528
3 жыл бұрын
Thank u
@sssena99
3 жыл бұрын
Thanks
@rajdhiman6037
3 жыл бұрын
Thanks man🤞
Andrew has been a final year med school for sooo long lol. ;)
@qasimkhan-qv9hi
5 жыл бұрын
Hahahah
@cristomathew9171
5 жыл бұрын
Yeah poor guy keeps failing his OSCEs
@drdj69
4 жыл бұрын
@@cristomathew9171 no. he is currently doing his Masters in America.
@maheshbava4166
4 жыл бұрын
@@drdj69 whooooosh
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
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
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
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
6 жыл бұрын
😊
@geekymedics
6 жыл бұрын
Woah! We feel privileged!
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. ❤
Wow, heart sounds as well? Thanks guys.
@geekymedics
6 жыл бұрын
Glad you like the new video :) More coming very soon 🎉
Wow, another amazing video. Thank you guys for including the heart sounds, including murmurs and regurgitations. Awesome work!
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
This is everything I needed in a video. Thank you for the effort , y’all know what you’re doing
Your videos are extremely helpful! Thank you so much! :)
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..❤️😁
Preparing my osce at the last years, you have been so helpful for me Thank you very much
@geekymedics
Жыл бұрын
That’s fantastic to hear Ro!
That's a great video. Many thanks from Poland!
This is amazing and very informative ... Thank you ☺️
Andrew, you must be so good at your clinical skills as you're practicing for so long and that too with ethics
Really nice and helpfully explained in easy way..
I love this video, thank you so much! So interesting with all the sounds!!
Wonderful presentation. These videos have been so useful.
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
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
9 ай бұрын
@@oluseyeoluwafemi5135he was being sarcastic relax
@drsahiba8763
6 ай бұрын
Those were not real sounds
Thank you ,these videos are very helpful.
This was great guys! Thanks a ton! :)
Thanks for posting!
Amazing!!! Thank you so much for this ♥️
WOW! Thank you for this video
Great effort 🌷 thanks alot doctors🌺🌺
thanks dr this is so helpful
Thank you for your valuable information
Thanks, helped My last OSCE in 2022
thank you guys, that was amazing!
@geekymedics
6 жыл бұрын
Glad you found it useful :)
This helps me a lot Thanks
Thanks 🙏🏻 from Libya 🇱🇾
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!! 🩺
I love this video, it’s cool
i have an osce tomorrow thanks!!!
Very nice ly explained...thnx for this video
My osce examination gonna be tomorrow.. and you just make me waiting for it. Thank you🙏🏻
@strethy
6 жыл бұрын
how did it go? x
@shabibuabdala7816
4 жыл бұрын
Nia’am Mater 💗
Heart sounds .....amazinnģ!!!!
Wow. Very useful. Subscribed
Thanks guys ❤️❤️
best ASMR for me
Thank you !!
This has truly prepared me for my rotation.
This is a well done video! Do you auscultate Erb's space in the UK?
@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
Thank you!
Thank you sir, you are the best.
Thank u very much these vidoes help us
that's what we needed
Excellent video
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.
Thanks!!
Excellent, thanks
fantastic video,,,
👏👏👏many thanks for free teaching for every eager to learn more in a world
Thanks
Excellent sir 🙏
Was totally wondering what ever happened with Andrew it’s awesome to see a new video 🤙
@geekymedics
6 жыл бұрын
You’ll be seeing more of him soon :)
Nice Video sir !!!
Waw this is an Amazing thank you so much it helps me allot
Awesome thanks
Easy way to understand
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
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
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.
Suis en train de me préparer pour le examen practical final de Médecine. Merci pour cette vidéo. Bon courage à moi 2:30
Superb video
Thank you
Thanks a lot
Happy Birthday James! Lol.
Ty so much sir
Wow good one
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 ?
My OSCE medicine exam at 8:00 am after 6 hours
What are we meant to feel for in a normal person when assessing the collapsing pulse
AYEEEE WE HAVE THE SAME STETHOSCOPE
Excellent 👌👌👌
Excellent 👌👍
Helpful
5:55 i thought I should use the bell for murmurs? or does it really matters?
It's very important examination
These comments have me realizing that people actually watch these for the educational content. I watch them because they’re relaxing.
He had been final year medical student since 2017
@DrZeeniakhan
2 ай бұрын
😂
the angle of the bed for this exam should be 45° right?
@Danial97brc
5 жыл бұрын
Yup
@mastercamel7902
4 жыл бұрын
Not necessarily. 45 degree is just standard
@ianmurithi6150
3 жыл бұрын
45 helps when observing for jugular vein distension
Thx👍
Great teacher ❤🇵🇰
Hiiiiii Isn't JVP something you should measure rather than mere inspection?
Just wanna ask why we hv to auscultate twice for each valve? And the second one with bell?
@razsabah5587
4 жыл бұрын
The bell is used to emphasize the low-pitched sounds, like in third heart sounds and murmurs.
@janewijaya9127
4 жыл бұрын
we listen to low-pitched sounds with bell --> listen to murmurs
what about checking blood pressure?
@Muhamedim
5 жыл бұрын
a medical procedure, should be done everytime
Thanks ...from iraq ..karbala
THUMBS UP GUYS WOW THANKYOU :D
How can I get written dialogue of this video?
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
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
6 жыл бұрын
Generally auscultating at the sternal edge is fine, the left sternal edge is usually quoted however.
@kotsverslimme
6 жыл бұрын
Ok, thanks for the reply.
@mustafafalah282
6 жыл бұрын
Aortic valve located in the left if Iam not mistaken
@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
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?
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
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
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
Why do we assess the temperature of the patient's arms?
@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
5 жыл бұрын
Temperature is usually used to assess shock.
Do you auscultate the aorta with the bell?
What is a positive collapsing pulse?
@VipulSPanditg
11 ай бұрын
AR
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
I wish new doctor was like that but no questions are asked from my Doctor.
Please slow down the words on the videos it’s hard to watch and still keep track of the words 🙏🏽
@jakeabc123
5 жыл бұрын
Just change the playback speed to 0.75
@hudagal6471
2 ай бұрын
Pause?!
Has this examination been updated in any way since because this video was posted a while back
James shares the same birthday as Tswift
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
5 жыл бұрын
Actually 3rd ICS LSB known as erbs point
@dorisoppongpoku8885
5 жыл бұрын
Yes