Examination Of Precordium Introduction Consent 1.Inspection Visible Scar marks Deformity Pectus Excavatum Carinatum Any bulge in the thorax Any visible pulsation Anything Abnormal 2. Palpation Must rub your hands if cold weather (i) First palpate Apex beat feel it with your fingers after feeling count it from Manubrium Sterni which is in the 2nd intercostal space Locate intercostal space & weather it is in mid clavicular line or displaced Check weather Apex beat is normal or Tapping or Heaving with your finger If Tapping your finger will be tapped/touched slightly. If Heaving your finger will be lifted upwards (not just touched) Ill heave finger lifted up for short time Well sustained heave finger lifted up for long time (ii) Right Ventricular Heave/ Left Parasternal Heave (iii) Palpate both Aortic & Pulmonary Areas with fingers & palms of your hand to see if a thrill is present or not. (iv) Palpate trachea (v) Feel Epigastric Pulsation 3. Auscultation Starts from MITRAL AREA after locating AB i. Place the steth at mitral area ii. Synchronize it with carotid iii. Give command Of Respiration to patient Murmur of right heart exaggerate during inspiration & left heart exaggerate during expiration سانس اندر لیں باہر نکالیں اور روک لیں iv. Ask patient to go to left lateral position see if there is an exaggeration of a murmur Murmur of Aortic regurgitation exaggerates in this position v. Check radiation of murmur in axillary area Now TRICUSPID AREA same 3 steps Place the steth at exact area Synchronize it with carotid Give command of respiration سانس اندر لیں باہر نکالیں اور روک لیں Next PULMONARY AREA Place the steth at exact point Synchronize it with carotid artery pulsation Give command of respiration سانس اندر لیں اور روک لیں NEXT AORTIC AREA i. Place the steth at exact area ii. Synchronize it with carotid iii. Give command of respiration سانس اندر لیں باہر نکالیں اور روک لیں iv. Ask the patient to sit up & lean forward to check gor murmur of aortic as it exaggerates in this position بیٹھیں اور تھوڑا سا جھک جائیں v. Check the radiation in the neck 4. Do the relevant examination Look for the basal crepts Do The Hepatojugular reflex Look for hepatomegaly Look for Pedal Edema Examine Hands for signs of Infective endocarditis like Splinter Hemorrhages Janeway Lesions Osler Nodes Petechiae Bruises & other things. Say thank you & cover the patient
@movieshorts9218
Жыл бұрын
Tricuspid command will be same as pulmonary سانس اندر لیں اور روک لیں
@humairaakram6378
Жыл бұрын
❤❤
@muhammadsudais6427
8 ай бұрын
Thank you
@itschillmed
8 ай бұрын
Thank u
@theoptimistic9547
3 ай бұрын
Jazakallah 🎉
@mishalfatima94163 жыл бұрын
Have an ospe tomorrow. These videos saved my life 💯
@brominder Жыл бұрын
Description of Findings I've an 8 years old boy lying comfortably on bed with no obvious distress or dysmorphic features. (environment of pt Cannulated or not O2 administered or not) On Inspection there are no visible Scar marks or visible pulsations, no deformity Pectus Excavatum Carinatum or any other. On palpation AB is in 5th intercostal space in mid clavicular line tapping in character. There were no Parasternal Heave or thrill present. The Trachea was central & there are no epigastric pulsations Both the first & second heart sounds are audible with grade 3 pan systolic murmur maximum heard at the lower left para sternal border radiating to the whole of precardium with no exaggeration on respiration & change of posture. The pitch of the murmur is high & the character of murmur was harsh/blowing This child is not in heart failure & there are no signs of Infective endocarditis.
@iqranawaz7991
Жыл бұрын
saved me sm time
@emerybraedon21823 жыл бұрын
Your videos are very informative and well done and your little patient is just precious and so cooperative.
@WaleedKhan-nv9rr Жыл бұрын
JazakAllah o khairan kasiraa....may Allah bless you sir always. So helpful videos
@EnriqueLopez-hb5jn3 жыл бұрын
Awesome information, this just makes it easier, to test the patient in question,👌🏽👌🏽👌🏽👌🏽👍🏼👍🏼👍🏼👍🏼👍🏼
@explorepakistan89312 жыл бұрын
Best way to teach clinicals ❣️
@doctorGull_Ortho4 жыл бұрын
JazakAllah! Really Helpfull☺️ Thank You Sir♥️
@asmahaque85583 жыл бұрын
Thank you, great video!
@blacktiger157610 ай бұрын
Jazak Allah Sir... Very informative especially the variation with respiration point
@hinzajaved38902 жыл бұрын
Amazing sir❤️ Keep doing 🙌
@margeenashahrukh81613 жыл бұрын
Very helpful . JazakALLAH
@dr.sidrakhan90553 жыл бұрын
Great videos.really like them.thank you dr junaid for making examination so much easy for us
@user-bi5kd8jm4o5 ай бұрын
you didnt tell about where to examine which area from where, for example at which intercostal space is the mitral, pulmonary etc. also the findings you told were of a normal patient ???? please confirm
@jiakhan86 Жыл бұрын
Very welldone doc 👌
@drbismashakeel3 жыл бұрын
Allah Apka bohat bhala kary
@johnblaesel54936 ай бұрын
Very brave little boy laying real still while the doctor is squeezing and pressing on his stomach. Maybe he’s the doctor’s kid!
@wardaarooj39282 ай бұрын
Found something worthy ❤
@amirhossainhalder99842 жыл бұрын
Love from india kolkata
@doctorsufian36053 жыл бұрын
Amazing sir g💓
@syedafatimanaz25012 жыл бұрын
JazakAllah khair sir
@azmatkhan-xi4vd2 жыл бұрын
Excellent 👍
@drfaheemullah...childrensp86853 жыл бұрын
Very useful video ...Jazaka Allah sir ... But one step u forget I think sir ,u have not check pulse 🤔
@medstudywithhf41823 жыл бұрын
Thanku dr 👍👍👍
@sososalih26373 жыл бұрын
عاشت ايدك والله
@alyamanytub9550
3 жыл бұрын
تسلمي سارة
@msabihparacha Жыл бұрын
So its a case of VSD then (inferred from the description of murmur)?
@shafaqkhanvlogs6304 Жыл бұрын
Thank you sir.
@eishashoaib20993 жыл бұрын
Thanku so much sir
@user-dd2fq9wd4q2 ай бұрын
Amazing 🎉❤
@hafsahussain19083 жыл бұрын
🙌🏽
@eagle30374 Жыл бұрын
Saviour,,👏
@sairabatoolrizvi7029 Жыл бұрын
Awesome
@areebaqamar21728 ай бұрын
excellent video
@allahhuakbar73622 жыл бұрын
Excellent
@mylmaz10203 жыл бұрын
Aleikum salam. 🇹🇷
@drkhalidrasheed7659 Жыл бұрын
Nice one sir
@fayalowid28512 жыл бұрын
وعليكم السلام
@sqadir883 жыл бұрын
sir can you pls explain the commands you gave while auscultating pulmonary and aortic area
@bluemoon3790
3 жыл бұрын
Btaya to h jo bhr walay areas mitral aortic un m sans Bhar nikal k rokny r Baki 2 m andr l k rok ny
@umarfarooq423 жыл бұрын
Sir kindly make vedio on Albinism examination
@channell11043 жыл бұрын
5:10 best
@awadood58663 жыл бұрын
Dont we put bell for mitral murmurs?
@koonjasghar7477
2 жыл бұрын
First we auscultate with diaphragm and then close it and again auscultate with bell on mitral as well as aortic areas but in this video he didnot mentioned it
@wafaa85552 ай бұрын
😊
@sidrajamshed13174 жыл бұрын
JazakAllah Great sir
@channell11043 жыл бұрын
7:05 9:05
@waqarahmadtahir78803 жыл бұрын
perfect,awesome,crossed limits
@hani8632 жыл бұрын
Why do we syncronise with carotids?
@AbhishekSharma-or7ce
Жыл бұрын
To differentiate between S1 and S2 S1 syncs with carotid pulse
@medicohelper7863 жыл бұрын
Explaination given at the end was of normal child???
@pakistanacademyofpediatric2378
3 жыл бұрын
Yes It was a template U will edit it according to your case findings in the your examination
@drzubairahmad70993 жыл бұрын
Sir g vedio banatay huway plz ye camra work tek karay
Пікірлер: 63
Examination Of Precordium Introduction Consent 1.Inspection Visible Scar marks Deformity Pectus Excavatum Carinatum Any bulge in the thorax Any visible pulsation Anything Abnormal 2. Palpation Must rub your hands if cold weather (i) First palpate Apex beat feel it with your fingers after feeling count it from Manubrium Sterni which is in the 2nd intercostal space Locate intercostal space & weather it is in mid clavicular line or displaced Check weather Apex beat is normal or Tapping or Heaving with your finger If Tapping your finger will be tapped/touched slightly. If Heaving your finger will be lifted upwards (not just touched) Ill heave finger lifted up for short time Well sustained heave finger lifted up for long time (ii) Right Ventricular Heave/ Left Parasternal Heave (iii) Palpate both Aortic & Pulmonary Areas with fingers & palms of your hand to see if a thrill is present or not. (iv) Palpate trachea (v) Feel Epigastric Pulsation 3. Auscultation Starts from MITRAL AREA after locating AB i. Place the steth at mitral area ii. Synchronize it with carotid iii. Give command Of Respiration to patient Murmur of right heart exaggerate during inspiration & left heart exaggerate during expiration سانس اندر لیں باہر نکالیں اور روک لیں iv. Ask patient to go to left lateral position see if there is an exaggeration of a murmur Murmur of Aortic regurgitation exaggerates in this position v. Check radiation of murmur in axillary area Now TRICUSPID AREA same 3 steps Place the steth at exact area Synchronize it with carotid Give command of respiration سانس اندر لیں باہر نکالیں اور روک لیں Next PULMONARY AREA Place the steth at exact point Synchronize it with carotid artery pulsation Give command of respiration سانس اندر لیں اور روک لیں NEXT AORTIC AREA i. Place the steth at exact area ii. Synchronize it with carotid iii. Give command of respiration سانس اندر لیں باہر نکالیں اور روک لیں iv. Ask the patient to sit up & lean forward to check gor murmur of aortic as it exaggerates in this position بیٹھیں اور تھوڑا سا جھک جائیں v. Check the radiation in the neck 4. Do the relevant examination Look for the basal crepts Do The Hepatojugular reflex Look for hepatomegaly Look for Pedal Edema Examine Hands for signs of Infective endocarditis like Splinter Hemorrhages Janeway Lesions Osler Nodes Petechiae Bruises & other things. Say thank you & cover the patient
@movieshorts9218
Жыл бұрын
Tricuspid command will be same as pulmonary سانس اندر لیں اور روک لیں
@humairaakram6378
Жыл бұрын
❤❤
@muhammadsudais6427
8 ай бұрын
Thank you
@itschillmed
8 ай бұрын
Thank u
@theoptimistic9547
3 ай бұрын
Jazakallah 🎉
Have an ospe tomorrow. These videos saved my life 💯
Description of Findings I've an 8 years old boy lying comfortably on bed with no obvious distress or dysmorphic features. (environment of pt Cannulated or not O2 administered or not) On Inspection there are no visible Scar marks or visible pulsations, no deformity Pectus Excavatum Carinatum or any other. On palpation AB is in 5th intercostal space in mid clavicular line tapping in character. There were no Parasternal Heave or thrill present. The Trachea was central & there are no epigastric pulsations Both the first & second heart sounds are audible with grade 3 pan systolic murmur maximum heard at the lower left para sternal border radiating to the whole of precardium with no exaggeration on respiration & change of posture. The pitch of the murmur is high & the character of murmur was harsh/blowing This child is not in heart failure & there are no signs of Infective endocarditis.
@iqranawaz7991
Жыл бұрын
saved me sm time
Your videos are very informative and well done and your little patient is just precious and so cooperative.
JazakAllah o khairan kasiraa....may Allah bless you sir always. So helpful videos
Awesome information, this just makes it easier, to test the patient in question,👌🏽👌🏽👌🏽👌🏽👍🏼👍🏼👍🏼👍🏼👍🏼
Best way to teach clinicals ❣️
JazakAllah! Really Helpfull☺️ Thank You Sir♥️
Thank you, great video!
Jazak Allah Sir... Very informative especially the variation with respiration point
Amazing sir❤️ Keep doing 🙌
Very helpful . JazakALLAH
Great videos.really like them.thank you dr junaid for making examination so much easy for us
you didnt tell about where to examine which area from where, for example at which intercostal space is the mitral, pulmonary etc. also the findings you told were of a normal patient ???? please confirm
Very welldone doc 👌
Allah Apka bohat bhala kary
Very brave little boy laying real still while the doctor is squeezing and pressing on his stomach. Maybe he’s the doctor’s kid!
Found something worthy ❤
Love from india kolkata
Amazing sir g💓
JazakAllah khair sir
Excellent 👍
Very useful video ...Jazaka Allah sir ... But one step u forget I think sir ,u have not check pulse 🤔
Thanku dr 👍👍👍
عاشت ايدك والله
@alyamanytub9550
3 жыл бұрын
تسلمي سارة
So its a case of VSD then (inferred from the description of murmur)?
Thank you sir.
Thanku so much sir
Amazing 🎉❤
🙌🏽
Saviour,,👏
Awesome
excellent video
Excellent
Aleikum salam. 🇹🇷
Nice one sir
وعليكم السلام
sir can you pls explain the commands you gave while auscultating pulmonary and aortic area
@bluemoon3790
3 жыл бұрын
Btaya to h jo bhr walay areas mitral aortic un m sans Bhar nikal k rokny r Baki 2 m andr l k rok ny
Sir kindly make vedio on Albinism examination
5:10 best
Dont we put bell for mitral murmurs?
@koonjasghar7477
2 жыл бұрын
First we auscultate with diaphragm and then close it and again auscultate with bell on mitral as well as aortic areas but in this video he didnot mentioned it
😊
JazakAllah Great sir
7:05 9:05
perfect,awesome,crossed limits
Why do we syncronise with carotids?
@AbhishekSharma-or7ce
Жыл бұрын
To differentiate between S1 and S2 S1 syncs with carotid pulse
Explaination given at the end was of normal child???
@pakistanacademyofpediatric2378
3 жыл бұрын
Yes It was a template U will edit it according to your case findings in the your examination
Sir g vedio banatay huway plz ye camra work tek karay
29 march
Jvp please