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0. Preparing patient. (5)
- Gain verbal consent
- perform hand hygeine
- Ask for exposure from waist up.
- Bed at 45 degrees.
- Approach from right.
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1. General inspection from head of bed. (7)
- pallor,
- cough,
- SOB,
- sweating,
- distress,
- cyanosis,
- body habitus
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2. Looking around the bed (4)
- Medication
- eating/drinking
- mobility aids
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3. Examine nails and hands. (5)
- Clubbing
- splinter haemorrhages
- Beau's lines
- tremor
- skin temperature
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4. Take pulse (4)
- Take radial pulse for 15 seconds on RHS
- Check for radioradial delay
- Take resp rate if relevant
- Collapsing pulse and slow rising pulse
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5. Blood pressure (3)
- Check both sides for aortic dissection
- Hypotension is less than 90/60
- Hypertension is 140/90
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6. Examine neck (4)
- Raised JVP
- cannon a waves
- Kussmaul's sign
- Carotid pulse
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7. Examine face (9)
- xanthomata,
- corneal arcus,
- anaemia
- mallar flush,
- pallor
- dental hygeine,
- central cyanosis
- diabetic retinopathy,
- hypertensive retinopathy
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8. Examine precordium (5)
- scars
- pacemaker/TID sites
- Auscultate
- Auscultate for carotid and axillary radiation if relevant
- carotid bruits
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9. Check legs (3)
- pitting oedema
- sacral oedema if patient well enough
- peripheral vascular disease
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10. To finish examination (2)
- Percuss and auscultate lungs for basal crackles
- General observations (esp HR,BP,RR)
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