CAM202 Lecture 1: Domain 2 Summary
Document Summary
Surrounding environment; medical equipment: hands, clubbing, peripheral cyanosis. Sclerae jaundice (yellow sclerae: conjunctiva pallor (paled colour compared to normal, xanthelasma (high cholesterol; yellow deposit, mouth, central cyanosis (under the tongue, dentition, palate high arched, neck. Jvp to rise and fall: carotids, pulse character (palpate both separately, auscultate for bruits (use bell, ask patient to stop breathing, praecordium (anterior chest, patient lying at 45 . Scars, skeletal abnormality, pacemaker, visible pulsations: palpation, apex beat position and character, 5th intercostal space, midclavicular line. If impalpable, roll patient onto left side and repeat: heaves and thrills (note wording, maybe say abnormal pulsations, apex, lse, base (aa/pa, auscultation. Sacral oedema: hold for 15 seconds, percussion. Lung bases: patient lying supine with head on pillow. Start in right iliac fossa, parallel to left costal angle; move on expiration, press on inspiration: aorta, palpate above umbilical area, percussion, ascites, umbilical region to mid flank, auscultation, renal bruits, use bell of stethoscope.
