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The cardio vascular assessment
Typology: Cheat Sheet
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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
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
Classifying severity based on your findings
Non pharmacological advise Pharmacological therapy
Side effects and dosages