Cardiovascular Examination. DAWIT AYELE (MD) INTERNIST. Dyspnea. Dyspnea an abnormally uncomfortable awareness of breathing that is easily differentiated from normal, quiet, unnoticed breathing heart failure, pulmonary edema, obstructive airway disease, and pulmonary embolism.
DAWIT AYELE(MD) INTERNIST
The presence and the volume of each pulse should be compared with the other side
Detected by gently compressing the vessel against firm structures, usually bones
The main peripheral arterial pulses that should be felt include: radial, brachial, carotid, femoral, popliteal, posterior tibial and dorsalis pedis.
Palpate heart sounds(valves):-press ball of the hand firmly on the chest
-Tricuspid-left parasternal 4th INTERCOSTAL
S2-Aortic-rt parasternal 2nd INTERCOSTAL
-Pulmonic-lt parasternal 2nd INTERCOSTAL
Murmur-Timing-systole/diastole/early, late, holo
-Shape-crescendo , decrescendo, plateau