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Cardio Flow

1. Clean stethoscope.2. Auscultate carotids for bruits.

3. Palpate carotids.4. Determine rate and rhythm.5. Palpate head and neck lymph nodes: Pre auricular Post auricular !uboccipital Posterior Cer"ical !uper#cial Cer"ical Deep Cer"ical !ubmandibular !ubmental $onsillar

!upracla"icular%. &a"e patient stand' check bilaterally for "aricosities and hair pattern.(. )nspect surface characteristics of thi*h and calf.+. &a"e patient lie supine.,. )nspect precordium usin* tan*ential li*htin*.

-&a"e patient turn head toard the left to check for distention/

-)nspect for "isible hea"es' symmetry' increased AP lateral diameter' P0)/

1.Auscultate ith the diaphra*m at all 5 heart areas: Aortic area Pulmonic area

rbs point $ricuspid area 0itral area11.Auscultate ith bell at all 5 heart areas12.Palpate at sternocla"icular area' all 5 heart areas' and epi*astric area

-checkin* for thrills/.13.isten to apical impulse ith patient in left decubitus position usin* the bell

-this is a special test used hen a mitral murmur is found/.14.Auscultate ith bell: Aorta enals )liacs

6emorals15.Palpate all abo"e -simultaneously bilaterally/ and in*uinal nodes.1%.Check capillary re#ll of toes.1(.&omans test -ankle dorsi7e8ion/.1+.!9ueee calf muscles a*ainst tibia in attempt to elicit tenderness.1,.Palpate for edema o"er bony prominence -both le*s/.2.Check pulses bilaterally: Dorsalis pedis arteries

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Posterior tibialis Popliteal 6emoral adial21.;ith back of hands' check e8tremities for temperature chan*es bilaterally.22.Check capillary re#ll of #n*ers.

23.&a"e patient sit up.24.isten to all 5 heart areas -ith diaphra*m and bell