Basic Cardiovascular Examination

[mamaalik12]

just to add. for the benefit of others. RILE--> right sided murmurs are best heard at inspiration and left sided best at expiration. in auscultation always do AR last so that you dont get the patient forwards and back every 2 seconds. also as well as checking lung bases, peripheral pulses,. you should do a quick check for AAA, hepatomegaly, renal bruits.

peace 

[jackdonalds1]

This video makes it seem as though she's a psychopathic deamon who has complete control over him as he lye's there. This was their agreement in hell, shes like haha, just carry on with what i say and this video can continue. MUHAHAHAAH. He's like ok mam just please dont hurt me.. and shes like, dont make it look too obvious too, or il really hurt you.

[frankenzi89]

uhm wheres d percussion?

[nobody463]

@frankenzi89 no percussion in cvs examination. =)

[frankenzi89]

@nobody463 u americans havnt heard of percussing?? u percuss to check for the borders of the heart..in case of hypertrophy,edema etc...

[mamaalik12]

@frankenzi89 this is st georges, its uk. london. not america. also there is little indication for percussion unless your going for EWART sign, pericardial effusions etc

[rmcdaniel423]

@frankenzi89 What do you percuss for CVS?

[Pythybaby]

thanks this was really helpful! i like how you explained why you were doing each step very useful in helping me study haha

[MDZZ86]

1)Inspect - Breathlessness, cyanosis, neck pulsations, chest scar, leg oedema

2)Hands - IE signs

3)Pulses - RR & RF delay, rate, rhythm, character, collapsing pulse

4)Face - pallor, cyanosis

5)Neck - carotid pulse, JVP

6)Palpate - apex beat, thrills

7)Auscultate - apex beat & 3 areas, radiation, position LL for mitral and sit forward, at LSE, for AR

8)Back - lung bases, sacral edema

9)Legs - edema

10)Others - peripheral pulses, funduscopy, hepatomegaly, urine dipstick

[zecore666]

man she has a great voice

[Allibaby78]

Introduce yourself and take consent first! Battery is a real issue.

[SolActovegini]

I like the way the doctor located the apex beat and started her auscultation.I wonder if it is OK to show at the exam.In Canada the academic way to do auscultation is "From APe To Man" (Aortic-Pulmonary-Tricuspid-Mi­tral)

[lovycat29]

@SolActovegini wow. that's different. in malaysia and india, we start from mitral

[noshi08]

good vedio. I am about to teach this and was worried it will take forever. its amazing to find a pretty comprehensive video of the basics done in less than 7 minutes.

probably the other stuff I was going to teach is superfluous in the technology age.

[viewmedicine]

her accent is difficult to listen for me. I'm not English country. In my opinion American accent is easier to listen.

[iceman2640]

@viewmedicine erm, ur not english country?? try learning english first! no one cares what ur opinion is, if u dont like it then watch another video..

[alldayubum]

@zaxterry dude it doesnt take a doctor to say the guy looks alittle chubby..i know u can act all tuff behind your mommys keyboard but stop acting like a youtube bully ..its embarrassing

[habibanazeera]

thanks. fantastic. really helpful

[sizartinhtun]

In auscultation the heart valves areas, i don't clear,is it need to describe heart sound? Does anyone know please answer me,please. thanks a lot.

[240119351]

thank's



[TeslaDRay]

these are good to know, even if you're a leyman.

[bigbird25059815]

Superb

[TeslaDRay]

what is "adema" anyway? i'm not a med student or anything, i just find these clips interesting and relaxing.

[dtinnan]

@TeslaDRay edema is swelling. rated as 1 (least) to 4

[xristosMalta]

@TeslaDRay Its called oedema. It means swelling.

[busterbone]

she say'd she gonna prescribe him something for ED

[taisuken310]

I like a lady doctor in a white coat. I like stethoscope heart sound and percussion sound. thank you very mach:

[urlifehk]

radial radial delay is due to arterial occlusion or aneurysms

radial femoral delay is due to coarctation of the aorta

[emonslemons]

why do you get a radial to radial delay? please let me know.....

[MrQydarable]

i think that guy is not relaxed

[subysoo]

Really helpful. Thanks.

[mrcren]

hipingboyandgrll

[TheFitz741]

whats her accent? lol

[Mangs786]

@TheFitz741 London!

[dano3564]

I can tell that fat chick is overweight and more prone to cardiovascular disease by just looking at her in the video, wheres my diagnostic fee?

[funtime2022]

@dano3564 did you measure her waist circumference? and how about her BMI, and LDL/HDL ratio? and about the Echo? so you have just determined that she is more prone only by looking at her, wow!! you must be really reeeally talented, or just mean

[kernkraft88]

@dano3564 i think shes pretty fine actually... and in the NHS you dont charge anybody for diagnosis... or anything actually.

[dano3564]

When your really sick they cant do nothing for you.

This is a classic bs exam to justify their overpaid salaries. What a joke....

[sissymedicalpa1]

@dano3564

someone sounds very biitter or very jelous that we medical providers get paid well....

[TheaterServant]

this is overkill lol

[aaronbhai]

havent u americans heard of percussion???

[sadia6655]

@aaronbhai : therez no percussion in cvs examination.....and by da way what would you like to percuss in cvs???

[aaronbhai]

@sadia6655 u can make out the cardiac borders with percussion, incases of cardiomegaly... u can diagnose pul HTN by percussing on 2nf left ICS.....

[ace666999]

hey this is from my uni lucky i found this :D

[addamrocks2006]

She seems like a very nice doctor. I pay my respects to my female doctor by saying "yes mam or no mam" when my doctor asks questions to me.

[busterbone]

Once I owed a Dr's office a few big bucks and they held me down, then strapped me to the table nude and tickled, taunted and teased me until I agreed to pay in full. I can't remember it was real or a bad dream in the hospital though (due to condition and medication). I think it was partly real though, because I found a feather and mask they were using in my personal belongings at discharge.

[rhanidarshini]

myee82: distal part of radial artery should be palpated...

[sum15208]

I'd like to meet someone like her. I have four stethscopes and I'm confident with each one of them

[superdupersonic]

Wish I got dictators that speak as clearly as her to transcribe more often!!

[npo32]

for any one want to do download from you tub shoild follow this go to google and writte KEEPVID AND choose the first choice and copy for web address in you tub and paste it in tape appear in keep vid and do click will appear two items by yellowish green coloure choose the first and do downlaod .....all of best regards

[myee82]

in regards of radial-radial delay that u mentioned, which part of radial artery should be palpated to feel that? i have checked talley o'connor,i can't find it. thank u

[missj4angel]

@myee82 radial-radial delay: delay between right and left radial arteries

[bolt001]

You need to download 'a tube catcher' to be able to download youtube videos.

[stevetoffa]

Thank u, but how can I download it???????????

[oneworldfamily]

It would be so much more useful, educational and memorable if she could say why she was doing things. She does it a couple of times but too infrequently...why should he turn on to his left side? ...why listen to the apex of the heart? etc.

[said6993]

in some patients, i.e females with large breasts or obese patients, it is difficult to locate PMI, by turning the patient to the left lateral position, the PMI can be located easily. Apex of the heart produces the PMI=Point of maximum impulse.

[acousticsigh]

but the point of locating the apex beat is to see if there's cardiomegaly. by turning the patient, there's no significance of locating the apex beat, isn't it?

[superdupersonic]

Google it.

[amirdillo]

apex beat checks for mediastinal shift

[digitalis112]

Erm, more like cardiomegaly.

[digitalis112]

This is the "mitral manoeuvre" designed to accentuate mitral murmurms.

Same thing with leaning forward, exhaling and holding for aortic murmurs.

[myee82]

it's radial-radial inequality and radial-femoral delay.

[nanaochanisluv]

in coarctation of the aorta there can be radial-radial delay. it just depends on which part of the aorta is constricted

[Cutiepetuti5]

Can you do it on me?

[Firegupf]

Where is this thin sheet of paper as it is used in germany ? I mean, he's sweating, so who would like to lay on a bed, someone else has used minutes before??? Bwäh...! Disgusting.

[kernkraft88]

@Firegupf Britain uses the disposable sheets of paper too, I think they haven't in this video just because it's not a real examination, it's for revision purposes

[tairanman]

ooo thomas tim are fools virgin gave vampire a hardon...

dont ask!

[conejoguapo]

esta

perfecto

pero deberia de

salir todA LA ACCION

JEJEJEJE

[sum15208]

My turn next and with a doctor like her

[alldayubum]

the guy looks like he needs to hit the gym.. he looks alittle flabby and tender

[zaxterry]

@alldayubum another youtube doctor. UGH so annoying. shut the fuck up. just shut up and become a real doctor

[belleelle08]

@zaxterry You're abit of an silly arent you! this is a teaching aid! made by a university to aid its students in conducting these examinations properly! the students watching these have examinations where they have to replicate these stages perfectly! if you dont know what you're talking about i suggest you dont say anything because this is a learning tool design to teach FUTURE DOCTORS so they can BECOME REAL DOCTORS!!

[lahoree01]

Is it not important to check the orthostatic hypotension with cvs exam?

[sammycut1]

I would play doctor to that hot man anyday.

[trooki1234]

perfect cardiovascular examination..

[slmalsom1]

one question: Is checking jugular vein pulsation the same as looking for jugular vein distension? I have never heard of JDP... if she was checking for JVD, she forgot to have him lay flat and than sit up to fowler's position...

[bondboy67]

if she examine me, I would have an heart attack. she is too fine to be a doc...lol..

[BLEUBERYZ]

Its good:)

[bawain]

1- olfactory

2- optic

3- occlumotor

complete the rest :p

[sandbar3000]

how would you feel anything with your hand on a large breasted woman? seriously! I've seen several video's now-and ALL of them have males in them! crazy.

[gembieminx]

you can't always, you just have to make the best of what you can...cv exam is a bit more difficult in females, but the stuff youre feeling for is very obvious (ie a thrill or a heave) so its not a problem to be honest ;o)

[cabbalistic]

Exactly! This is my first clincial year, and I still have no idea how I am to elicit CVS signs in a woman!

[nataher123]

Try spreading the boobs apart

[ahmology]

spread them apart or let her raise them upward . but good luck finding the mitral area

[bawain]

CVS examination is the hardest

[1992peter]

Well done.

I LOVED THE AUDIO FEATURES.

I mean, how did you do that?

[adeoselamos]

plz bit exaplain

[Dimari]

Thanks the video... sure has helped as I go into a clinical examination practical.

[o2demand]

excellent clinical audio and video lectures

account: o2demand

website: o2demand

[lolipop1264]

i also heard that thing where you shouldnt check someones pulse with ur thumb...interesting.

is it bad if the dr checks ur pulse for litterally like 5 minutes? (asking from former appointment)

[Mrster]

I don't know, I sort of find these kind of examinations, both in real life or video, relaxing.

[logician15]

Me too, oddly enough.

[TheFitz741]

@Mrster me too lol

[TheFitz741]

@Mrster i do too its weird but somehow relaxing haha

[cupcake11111s]

@Mrster they really are because i have to go to the heart doctor once a year and it always makes me almost fall asleep

[JNozum]

Not too bad!  I wouldn't mind lying there on that table myself! It certainly beats watching Jeopardy on TV!

From John Nozum

[worm9100]

ya right

[sum15208]

Very interesting.

How about me, taking part and with a doctor like her.

I'm interestted in auscultation, respiratory and cardiovascular examinations--and with that doctor on this video.

[nirwana07]

try per rectal examination

[AichaBlueSky]

what did she do at the angle of Louis? something about 'measuring tight at the angle of Louis'???

[saphyr84]

She said "Measure its height at the angle of Louis".... Shes talking about measuring the JVP.

[cuneatus3]

You should never use your thumbs when checking a patients pulse. You might feel your own!

[bluearyus]

do you realize how strong your carotid pulse is compared to your radial pulse?

[dhukka123]

Great complete and thourough. Radiofemoral delay for coarctation of the aorta. Leaning forward breathing out while auscultation to detect aortic stenosis and pericarditis. Turning to your left to detect mitral stenosis. I got heartburn have to take zantac. Healthy hearts for valentines day, love your heart.

[harinisesham]

this video is great ,thankyou

[koolkienz05]

thanks, this video is very helpful

[0131063]

thanks, it's really helpful

[alkhalil3952]

Thanks. good video

[deathmawt]

THANKS.This is very good and helpful. :)

[alain20008]

perfect

have u got video for lower limb ?

[arpita1586]

good video.

[rumbug]

A great revision for my OSCE. Thanks!

[fwan]

excellent video! thank you :)

[larafabien]

i am glad that someone caring about students life improment, thanks a lot,

[embicas]

Excellent!!

[Norly227]

this is a very helpful video for nursing students like me. thank you so much!definitely 5 stars for this one.

[DrMunirHattar2511979]

in the auscultation for the aortic regurg, the patient must take in a deep breat then take it out deeply then hold on, then auscultate.

[DrMunirHattar2511979]

in the auscultation for the aortic regurg, the patient must take in a deep breat then take it out deeply then hold on, then auscultate.

[l84scool]

niceeee!very good indeed.i think it's better than talley o'connor cdrom version.nice job

[homam4you]

Hello

i'm Dr Homam / Baghdad .. i think that is a very interesting revision , simulating he daily ward rounds .. thanks alot for this video

yours

[DavinaHensman]

V useful revision!

[pratapu]

good one.........