Cardiovascular examination

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The Cardiovascular examination is a portion of the physical examination that involves evaluation of the cardiovascular system.

It can involve a precordial examination and peripheral vascular examination.

Some portions of the examination may be best performed while sitting up (such as a neck bruit), while other portions may be best performed while lying back at a 30- or 45-degree angle (such as hepatojugular reflux.) Some portions (such as the heart sounds) may be evaluated in both positions, while others (such as the carotid artery auscultation) may be done in either.

Certain conditions can be identified upon inspection.^[1]

Phrases in the writeup can include:

heart rate and rhythm: "regular rate and rhythm" or "RRR"
heart sounds: "+S1, S2"
murmurs, rubs, and gallops: "no m/r/g"
point of maximal impulse: "PMI nondisplaced"

More detailed notes may mention heaves and bruits. Peripheral pulses may be included in a cardiovascular system or in a "Extremities" section.

References

↑ http://www.ncbi.nlm.nih.gov/books/NBK2213/

Medical examination and history taking

General/IPPA

Oral mucosa · TM · Eyes (Ophthalmoscopy, Swinging-flashlight test) · Hearing (Weber, Rinne)

Respiratory

Respiratory signs and symptoms

Cardiovascular

Cardiovascular signs and symptoms
- Heart sounds

Other

Abdominal

Digestive	Liver span · Rectal · Murphy's sign · Bowel sounds

Urinary	Murphy's punch sign

Extremities/Joint

Back (Straight leg raise) · Knee (McMurray test) · Hip · Wrist (Tinel sign, Phalen maneuver) · Shoulder (Adson's sign) · GALS screen

Neurological

Neonatal

Gynecological

Well-woman examination
Vaginal examination
Breast examination
Cervical motion tenderness

L/I

Labs (Electrolytes, ABG, LFT) · Medical imaging (EKG, CXR, CT, MRI)

A/P

Medical diagnosis · Differential diagnosis

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