CVS Examination Checklist

WIPER
1 Wash your hands
2 Introduce yourself
3 Ask for permission, position( lying down 45º)
4 Ins re the patient s pri ac
5 Put the patient in supine position
6 Expose the patient (from chest to waist)
7 Stand by right side of the patient

1
insure privacy
Appearance: ill or well
ABCDE & V
2 Body built: obese, FTT or normal
plating in the growth chart
3 Color: pale, central cyanosis
4 Deformity, dehydration, distress (tachypnoea, intercostal, subcostal,
suprasternal recession, nasal flaring ), decubitus
5 Environment: IV cannula, O2 mask
6 Vital signs: HR, RR, BP (very important), O2 sat, temperature
7 Anthropometric measures: weight, height, head circumference
General (Hands)
1 Clubbing
2 Peripheral cyanosis cleukonychiagkoiloneychia
3 Splinter hemorrhage emuscle wasting
4 Palmer creases for pallor
5 Tuberous and tendon xanthomas
6 Osler s nodes
General (face)
1
2
Sweating (forehead)
I shout
Eyes: pallor, jaundice, periorbital edema xanthalesmata ptosis arcus senilisgexami
3 Mouth: central cyanosis, Dental hygiene, high arch palate, angular
the funder
stomatitis, jaundice. molar
rash forRoth
4 Signs of dysmorphic features (syndromes) Spa
marfan
syndrome
 no Pulse indicate aortic regerge
atrial fibrillation Colglapsing

irregular of General (Arterial pulse)

1 irregular
Brachial pulses (presence, volume, rate, rhythm, character)
2 Femoral pulses (presence, volume, rate, rhythm, character)
3 Synchronicity with other hand and lower limb(dorsalis pedis, posterior
tibial)
idheRuea tatn
General (Abdomen)
Palpation:
1 Liver
2 Spleen: if you suspect infective endocarditis by other signs
General (lower limb and sacral region)
1 Edema
Local (Precordium inspection)
1
2
Asymmetry (bulge of the chest due to cardiomegaly)
Deformities (pectus excavatum, pectus carinatum, Harrison signs of RD
sulcus) kyphoscoliosis
3 Scars (median sternotomy scar, left and right anterolateral scars) Pacemaker
4 pulse
Visible pulsation (pulsation at neck in aortic regurgitation, apex beat) putarteryvisible
5 Assessment of JVP in old children with heart failure
Local (Precordium palpation)
1 Apex beat
2 Parasternal heave (right ventricular hypertrophy)
3 Thrills in all areas
4 Palpale 2nd heart sound (in pulmonary hypertension)
v Local (Precordium auscultaion)
1 Palpate right brachial artery during auscultation
2 Heart sounds
3 Added sounds
4 Murmur (location, timing, duration, intensity, radiation, quality and pitch,
change with posture or phases of respiration)
5 Lung base for crackles
T c m le e m e ami a i
1 Cover the patient
2 Thank the patient
3 Examination of respiratory system, lymph node, carotid bruits, temporal
bruits, liver venous hum