Cardiovascular Examination | OSCE Guide | UKMLA | CPSA

This video demonstrates how to perform a cardiovascular examination in an OSCE station.
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Chapters:
- Introduction 00:00
- General inspection 00:35
- Hands 00:46
- Schamroth's window test 01:07
- Capillary refill 01:27
- Pulses 01:35
- Carotid auscultation 02:21
- Carotid pulse 02:43
- Jugular venous pressure 02:55
- Hepatojugular reflux 03:09
- Inspection of the face 03:21
- Inspection of the chest 03:49
- Apex beat 04:12
- Heaves and thrills 04:28
- Heart valve ausculation 04:49
- Accentuation manoeuvres 05:45
- Lung base auscultation 06:23
- Sacral and pedal oedema 06:43
- Summary 07:10
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Normal heart sounds and aortic regurgitation/stenosis sounds
Recorded on a Thinklabs Digital Stethoscope (www.thinklabs.com)
Some people have found this video useful for ASMR purposes.
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[@geekymedics]

Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles

[@danspitalnik]

If it helps anyone remember it, RILE is a good mnemonic for knowing that Right-sided valve murmurs are louder with Inspiration (RI) and Left-sided are louder with expiration (LE).

[@showercap7027]

thank you :)

[@kenadaniel7623]

thanks mate

[@sandhyamishra1528]

Thank u

[@sssena99]

Thanks

[@rajdhiman6037]

Thanks man🤞

[@geekymedics]

Learn clinical skills on the move and support us in producing more awesome videos with the Geeky Medics app geekymedics.com/geeky-medics-app/ 👾💉🎉

[@keegan77kh]

Hi Guys, have purchased the app and finding it very useful. Just wondering if you have plans to increase the app's content, as I was hoping it to be as extensive as the website. Also, a navigation bar present in a corner would be useful, instead of having to click into each section, to find the guide that you are looking for. Cheers

[@geekymedics]

Hey +Keegan Hunter , we’re going to be continually adding to the apps content, with several new sections planned for the next update. In addition we’ll be giving those users supporting us, via the app, early access to our latest content. I’ve taken note of the menu suggestion and it’s certainly something we’ll consider as we continue to improve the app.

[@keegan77kh]

Great to hear :) keep up the awesome work, the website and app have been invaluable for my OSCEs and hospital examinations

[@geekymedics]

😊

[@geekymedics]

Woah! We feel privileged!

[@angelalopez6667]

Wow, another amazing video. Thank you guys for including the heart sounds, including murmurs and regurgitations. Awesome work!

[@sean666777888]

Andrew has been a final year med school for sooo long lol. ;)

[@qasimkhan-qv9hi]

Hahahah

[@cristomathew9171]

Yeah poor guy keeps failing his OSCEs

[@drdj69]

@@cristomathew9171 no. he is currently doing his Masters in America.

[@maheshbava4166]

@@drdj69 whooooosh

[@nguyenngongocngan8970]

thank you. I am going to have test about Clinical Skill next week. This video help me to review the lecture. Thank you very much

[@TEEFAB]

I had my OSCE exam yesterday. And I must say, this helped me a lot. Although I missed a bit of the assessment, but I think I did well. Thank you so much. ❤

[@Raashmitha12]

Your way of teaching is amazing... It helps to take notes also.. nice !!❣️.. keep on doing.. it makes us to prepare for exams easier...tq..❤️😁

[@SamOwenI]

Wow, heart sounds as well? Thanks guys.

[@geekymedics]

Glad you like the new video :) More coming very soon 🎉

[@rohu2223]

Preparing my osce at the last years, you have been so helpful for me Thank you very much

[@geekymedics]

That’s fantastic to hear Ro!

[@gamerguy765]

This is everything I needed in a video. Thank you for the effort , y’all know what you’re doing

[@geetsingh668]

Andrew, you must be so good at your clinical skills as you're practicing for so long and that too with ethics

[@sheetalsriraman4148]

Your videos are extremely helpful! Thank you so much! :)

[@Rafus49]

That's a great video. Many thanks from Poland!

[@ambi4123]

This is amazing and very informative ... Thank you ☺️

[@josephvinod1350]

Wonderful presentation. These videos have been so useful.

[@SalmanHasanRafi]

Really nice and helpfully explained in easy way..

[@ariadne1683]

I love this video, thank you so much! So interesting with all the sounds!!

[@Nurse-Grace]

So helpful for my DNP skills test out!! Thank you so much for instructing at a reasonable pace and for providing specifics for landmarks and normal vs abnormal sounds and findings! Excellent content!! 🩺

[@user-nw9er7jx2m]

My osce examination gonna be tomorrow.. and you just make me waiting for it. Thank you🙏🏻

[@strethy]

how did it go? x

[@shabibuabdala7816]

Nia’am Mater 💗

[@thirva95]

This was great guys! Thanks a ton! :)

[@MohammedAhmed-hi7ct]

My OSCE medicine exam at 8:00 am after 6 hours

[@cadamiproudsomalilander1338]

Thanks, helped My last OSCE in 2022

[@brightmwape7423]

Thank you ,these videos are very helpful.

[@sean2200]

Poor James. Severe MR, AS and some of the worst AR I’ve ever heard. It’s a miracle he looks so comfortable at rest. Wish him all the best.

[@oluseyeoluwafemi5135]

I doubt those were his actual heart sounds,I guess the producer added those sounds so we have a sense of what the pathology sounds like...

[@AbuDaia]

@@oluseyeoluwafemi5135he was being sarcastic relax

[@drsahiba8763]

Those were not real sounds

[@amreza6491]

Amazing!!! Thank you so much for this ♥️

[@SamSamSamLawl]

Thanks for posting!

[@sarahmina1442]

thank you guys, that was amazing!

[@geekymedics]

Glad you found it useful :)

[@musastuart10]

Suis en train de me préparer pour le examen practical final de Médecine. Merci pour cette vidéo. Bon courage à moi 2:30

[@amandasethu7657]

WOW! Thank you for this video

[@wedawewe5142]

Thanks 🙏🏻 from Libya 🇱🇾

[@etharabdelnasser4237]

Great effort 🌷 thanks alot doctors🌺🌺

[@xxxx-xs5vr]

i have an osce tomorrow thanks!!!

[@Steinbrecher72]

I love this video, it’s cool

[@ohudyansary]

thanks dr this is so helpful

[@kryztofsharpe8566]

They sometimes recommend palpating for dextrocardia before looking for the Apex. Most times it is unnecessary but it helps on the of chance it shows up and consultants like to see you do it.

[@Dr.HJ99]

This helps me a lot Thanks

[@aksamary9618]

Thank you for your valuable information

[@PiercedInkedBlatino]

Was totally wondering what ever happened with Andrew it’s awesome to see a new video 🤙

[@geekymedics]

You’ll be seeing more of him soon :)

[@nyamurungibtumusiime4562]

Heart sounds .....amazinnģ!!!!

[@drsibisudhan]

Wow. Very useful. Subscribed

[@misskakouei6638]

👏👏👏many thanks for free teaching for every eager to learn more in a world

[@jadegarmash4691]

This has truly prepared me for my rotation.

[@raskinlex]

best ASMR for me

[@nabanitadebnath8995]

Very nice ly explained...thnx for this video

[@Noor-pz3sv]

Thanks guys ❤️❤️

[@bhstone1]

This is a well done video! Do you auscultate Erb's space in the UK?

[@VinnithPullavarayar]

In the video he auscultates at Erb's space when the showed aortic regurgitation.. they just didin't mention it as being Erb's space

[@liabduhliabduh2207]

Thank you sir, you are the best.

[@marcusm359]

These comments have me realizing that people actually watch these for the educational content. I watch them because they’re relaxing.

[@FloreFleur]

Excellent video

[@medicine-mutasim]

that's what we needed

[@chrisayers2875]

Happy Birthday James! Lol.

[@Jacky-ju5mj]

AYEEEE WE HAVE THE SAME STETHOSCOPE

[@Janalejigre34]

Thank u very much these vidoes help us

[@killa-um7ds]

Thank you !!

[@v.p_rathwa6312]

Nice Video sir !!!

[@sanasani4194]

Excellent sir 🙏

[@danjoellukumbi1115]

Still enjoy watching this as I prepare for my first internal medicine exam! Thank you! Was just wondering at 5:53 min the aortic regurgitation murmur sounds a lot like continuous murmur and quite machinery, is it not a Patent Ductus Arteriosus murmur ?

[@DrDinooshDeLivera]

Thank you!

[@kamaldewan6231]

fantastic video,,,

[@laithalpadani8581]

Excellent, thanks

[@Dr.Nikita_Jain]

Superb video

[@drnolim8821]

Thanks!!

[@sacdiyasiman1348]

Waw this is an Amazing thank you so much it helps me allot

[@raramedia3228]

What are we meant to feel for in a normal person when assessing the collapsing pulse

[@dr.kaynatsahar5026]

Wow good one

[@funkdaddy5641]

Awesome thanks

[@olaflai2136]

5:55 i thought I should use the bell for murmurs? or does it really matters?

[@v4mohslayer625]

Excellent 👌👌👌

[@Muhammad-fi5pz]

Excellent 👌👍

[@cruelthingsdonenice]

PLEASE HELP! When he does the accentuation manoeuvres for the aortic regurgitation why does he put the stethoscope on the left sternal edge? Should it not be the right sternal edge of the second intercostal space? Isn't that where the aortic valve is heard best? Thank you! Great video :)

[@bilalahmed5518]

well for aortic regurgitation we listen to left sternal border area because in AR volume is coming back to LV, not going forward. For AS one should put the stethoscope to right sternal border at aortic area.

[@BT-sm3ur]

Anatomically the aortic valve is at the left sternal edge. This means that when the blood flows backwards due to the regurgitation, it will rub against the aortic valve which is at the left sternal edge. Listening at the 2nd intercostal space is mostly just for aortic stenosis.

[@thesoloist2501]

Thanks

[@sanjupatil2465]

Ty so much sir

[@mohatik1421]

Thank you

[@Amira-ld4ev]

Thanks a lot

[@blesshim1517]

Hiiiiii Isn't JVP something you should measure rather than mere inspection?

[@nncprathiba6994]

Easy way to understand

[@hamzaalam4116]

Great teacher ❤🇵🇰

[@orhanarman6671]

Helpful

[@funnygriffins]

He had been final year medical student since 2017

[@DrZeeniakhan]

😂

[@Medics987]

It's very important examination

[@user-sb8kd7mb8b]

Thx👍

[@palaykhan5974]

How can I get written dialogue of this video?

[@DrAbdullahSubhan]

what about checking blood pressure?

[@Muhamedim]

a medical procedure, should be done everytime

[@khalidmaqbool6632]

Nice 👍...You should have also done clinically palpable P2 and in auscultation aortic regurgitation.(how to check radiation of aortic regurgitation) Moreover while palpating all valves of heart you must not remove your thumb from carotid artery as you’re checking for thrill whether systolic or diastolic. Thank you very much for sharing this video. Dr khalid

[@IqraKhan-se1ny]

THUMBS UP GUYS WOW THANKYOU :D

[@kingofcourt5145]

Just wanna ask why we hv to auscultate twice for each valve? And the second one with bell?

[@razsabah5587]

The bell is used to emphasize the low-pitched sounds, like in third heart sounds and murmurs.

[@janewijaya9127]

we listen to low-pitched sounds with bell --> listen to murmurs

[@ahmedalbasri7280]

Thanks ...from iraq ..karbala

[@daniellelutchman485]

the angle of the bed for this exam should be 45° right?

[@Danial97brc]

Yup

[@mastercamel7902]

Not necessarily. 45 degree is just standard

[@ianmurithi6150]

45 helps when observing for jugular vein distension

[@Andrew-xj6gh]

Do you auscultate the aorta with the bell?

[@carinapan2663]

James shares the same birthday as Tswift

[@smol_chilli_pepper]

What is a positive collapsing pulse?

[@VipulSPanditg]

AR

[@francish5401]

I wish new doctor was like that but no questions are asked from my Doctor.

[@NawabSDigitalBusiness]

why did we listen to carotids twice, once in the beginning and then for murmur? isn't it better if we do it in auscultation section rather than before completing inspection of face and eyes?kindly reply

[@madena1374]

You listen to the carotid before palpating to check for any bruit which could indicate thrombi that could then embolise to the brain when palpating

[@Cat-qn7pm]

You do it at the beginning to see if there is any carotid bruits - implying you should not palpate the carotids, as there is underlying stenosis

[@baron8892]

Has this examination been updated in any way since because this video was posted a while back

[@koutarobokuto9583]

Why do we assess the temperature of the patient's arms?

[@flee2321]

Kuroo Tetsurou if you need to know for a test, don’t listen to me. Lol. But I’ve always assumed it was for two main reasons. One is blood flow makes it warm and checks that the temp is around what should be expected for the environment. And the second was to make sure they both felt the same. Again making sure there were no irregularities and that the blood flow was the same on both sides. ???

[@nyamurungibtumusiime4562]

Temperature is usually used to assess shock.

[@kotsverslimme]

For aortic regurgitation murmur, you auscultate at the left 2nd IC region in the video. Shouldn't this be on the right side, since that's the place of the aortic valve?

[@geekymedics]

Generally auscultating at the sternal edge is fine, the left sternal edge is usually quoted however.

[@kotsverslimme]

Ok, thanks for the reply.

[@mustafafalah282]

Aortic valve located in the left if Iam not mistaken

[@VyewVyew]

Remember that you aren't really auscultating the valves directly, you're hearing their transmitted sounds/echoes through the nearest blood vessel/space that's not covered by the sternum or ribs, see this pic www.stethographics.com/heart/images/sites.jpg

[@xueyingzhu9430]

but when you listen for aortic murmurs, you put stethoscope at 2nd ICS right sternal edge cuz that's where aortic murmurs radiate to. But I don't get why when you're doing the manoveure to make aortic murmur louder, you put stethoscope on lower left sternal edge?

[@doctorrana772]

For aortic regurgitation murmur, you should auscultate over the 5th intercostal space at the left sternal edge, and not over the 2th ic region

[@Camoflaged3]

Actually 3rd ICS LSB known as erbs point

[@dorisoppongpoku8885]

Yes

[@shayan6941]

hey, if someone benefitted from this, so rIght have i in It so inspiration increases right side murmurs and lEft have E so expiration increases left heart murmur

[@SurgeonVirtuoso]

👍👏