OUR LADY OF FATIMA UNIVERSITY

DEPARTMENT OF INTERNAL MEDICINE

CLINICAL MEDICINE I
CARDIOVASCULAR SYSTEM CHECK LIST v1. Rev 2. 2019

NAME: ________________________________________________ SCORE: ______________

SECTION: ______________________________________________ DATE:________________

Done Done but Not Done or

Cardiovascular Examination Complete & only Partially Done but Not
Correct Correct Correct
(2) (1) (0)
A. 1. Wash hands before touching patient,
introduce yourself and check identity of
patient
B. 2. Explain what you like to do & obtain
consent
C. JVP Examination
3. Stay at the right side of patient, position
the. Patient supine on bed & raise the
head of the bed to about 30-45 degrees
angle
4. Let the pt. head turn to the left, ID the
right jugular vein & note for its highest pt.
of pulsation by tangential lighting
5. Place 1 ruler horizontally at the level of
the highest pt. & place 2nd ruler vertically
on top of the sternal angle at 90 degrees
with 1st ruler; note for the vertical dist. In
CM.
D. Carotid Arterial Pulse Examination
6. Carotid Pulses: Check amplitude & Bruits
E. Palpable Pulses: Check strength, symmetry,
Rate & Rhythm
7. Radial
8. Brachial
9. Femoral
10. Popliteal
11. Post. Tibialis
12. Dorsalis Pedis
F. Precordium
13. Stay at right side of pt. in supine; angled
at 45 degrees
14. Expose precordial area, illuminate with
penlight at tangential angle
15. Look for precordial bulging & pulsation
16. Look for Apex beat at usual loc. 5th- 6th
ICS 1-2 cm medial to LMCL, note for loc.
17. If not visible, palpate with index & middle
finger with pt. supine or left lateral
decubitus (Note: If palpable or not
palpable)
18. If palpable, measure the size (diameter)
with fingers (breath) or ruler, note for
force of pulsation
(Size & Amplitude)
19. Check for Precordial Heaves: Pt. is still
supine, palpate with heel of right hand at
apex beat area for strong pulsations
(LVH), Left side of lower sternum for
(RVH)
20. Check for Thrills: Using the ball of the
hands, palpate for fine vibrations at the;
Apex beat 5th ICS LMCL for mitral v. thrill;
Left lower sternum for tricuspid v. thrill,

21. ..2nd ICS LPSL for pulmonic thrill & 2nd

ICS RPSL for aortic v. thrill

22. Check for Precordial Lifts: Using the pad

of the middle & index fingers, palpate for
abnormal pulsations on the 2nd ICS LPSL
for pulmonary arterial lift; 2nd ICS RPSL for
abnormal aortic artery dilatation
 OUR LADY OF FATIMA UNIVERSITY
DEPARTMENT OF INTERNAL MEDICINE
CLINICAL MEDICINE I
CARDIOVASCULAR SYSTEM CHECK LIST v1. Rev 2. 2019

Done Done but Not Done or

Cardiovascular Examination Complete & only Partially Done but Not
Correct Correct Correct
(2) (1) (0)

G. Precordial Auscultation:
23. Warm stethoscope with hands; ID
valvular
Areas: mitral, tricuspid, aortic, pulmonic
& Erb’s point
24. Using bell or diaphragm auscultate at the
valvular areas by inching technique
from apex to base or vice-versa
25. Check for the Heart Rate (N, brady &
tachy)
26. Check for the Rhythm (reg., irreg.,
skipped)
27. Check for S1 & S2, compare the character
of sounds at the apex & basal area
28. Note for splitting of S2 at the tricuspid
area in relation to respiration
29. Precordial Auscultation: Maneuvers
Positioning at Left lateral decubitus to
enhance apical heart sounds; leaning
forward to enhance basal heart sounds
30. Detecting: Abnormal Heart sounds
Using bell of stethoscope auscultate for S3
& S4 at the mitral & tricuspid areas
31. Check for turbulent sounds (murmurs) at
the different valvular areas: describe as to
timing only; Friction rub.

TOTAL

_____________________________MD