cardiovascular assessment, Cheat Sheet of Medicine

The cardio vascular assessment

Typology: Cheat Sheet

2023/2024

Uploaded on 07/02/2024

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Cardiovascular Assessment
History
Introduction, How may I help you today?
Experiencing any symptoms of cardiovascular disease: chest pain,
chest pain on exertion, shortness of breath, tiredness, loss of
consciousness, ulcers on legs?
Assessment of cardiovascular symptoms: duration, management,
effect on work and daily life
Experiencing any pain? (SOCRATES = site, onset, character, radiation,
associated symptoms, time, exacerbating and alleviating factors,
severity)
Any other symptoms or concerns? Any constitutional symptoms?
(Fever, weight loss, change in mood or appetite)
Depending on circumstance —> Five Ps (partner, practices, protection
from STI, past history of STI, pregnancy intention)
Family History: diseases (heart attacks, high cholesterol,
hypertension, kidney disease, diabetes, psychiatric conditions), family
members (number, support, stress, bereavement, socio-economic
status, aboriginal)
Social History: SODDDOM = smoking, alcohol, drugs, diet, daily
activities and physical activities, occupation, mood (depression/
anxiety/stress screen)
Medical History: surgeries, stents, clotting problems, diabetes,
thyroid, hypertension, hyperlipdemia,
Drugs History: pharmaceutical medications (duration, compliance,
side effects), alternative medications (St. John warts etc.), allergies,
immunisations
Keeping an eye out for risk factors and causes
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Cardiovascular Assessment

History

Introduction, How may I help you today? Experiencing any symptoms of cardiovascular disease: chest pain, chest pain on exertion, shortness of breath, tiredness, loss of consciousness, ulcers on legs? Assessment of cardiovascular symptoms: duration, management, effect on work and daily life Experiencing any pain? (SOCRATES = site, onset, character, radiation, associated symptoms, time, exacerbating and alleviating factors, severity) Any other symptoms or concerns? Any constitutional symptoms? (Fever, weight loss, change in mood or appetite) Depending on circumstance —> Five Ps (partner, practices, protection from STI, past history of STI, pregnancy intention) Family History: diseases (heart attacks, high cholesterol, hypertension, kidney disease, diabetes, psychiatric conditions), family members (number, support, stress, bereavement, socio-economic status, aboriginal) Social History: SODDDOM = smoking, alcohol, drugs, diet, daily activities and physical activities, occupation, mood (depression/ anxiety/stress screen) Medical History: surgeries, stents, clotting problems, diabetes, thyroid, hypertension, hyperlipdemia, Drugs History: pharmaceutical medications (duration, compliance, side effects), alternative medications (St. John warts etc.), allergies, immunisations

Keeping an eye out for risk factors and causes

Neck: JVP, carotid pulse and built, thyroid visible or palpable, neck circumference for OSA Hands: clubbing, sweating, capillary refill time, nicotine sailing of nails, striae for Cushing, fine tremors of hyperthyroid, bicep and tricep reflexes for thyroid, Chest: Gynaocomastia for hyperthyroid, apex beat for LVH, Auscultate lungs Abdomen: look for striae for Cushing, listen for bruit aortic (2cm above umbilical in midline), renal artery bruit, enlarged kidneys = PCOS Legs, dorsalis pulse, reflexes, peripheral ulcers or hair loss Cardiovascular examination: Auscultation of heart, blood pressure, radial pedal and brachial pulses, carotid bruits, JVP https://geekymedics.com/cardiovascular-examination-2/ Investigations Lipid profiles, blood sugar levels, ECG, stress ECG Clinically relevant : TSH, urine analysis, MSE

Management

Classifying severity based on your findings

Non pharmacological advise Pharmacological therapy

Side effects and dosages