physical examen notes for cardiovascular and peripheral systems|Course hero helper

Posted: March 5th, 2023

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Write up for Cardiovascular Physical Examination


Blood pressure: upright and supine position to compare the blood pressure. When going from supine to sitting position, there is no changes or decrease in blood pressure or dizziness.


Neck veins: patient turned her head to the right, no jugular vein distention observed at 30-35 degrees. Jugular venous pressure measured at 30-45 degrees, under 3 cm which is normal.

Carotid pulses palpated bilateral: no thrill. Auscultation with bell and diaphragm, no bruit.


Chest and trunk:


no visualized chest wall abnormalities. Sternum at midline. No precordial pulsations. No aortic abdominal pulsations.



No thrill, heaves or lifts in the aortic, pulmonary, Erbs point, tricuspid and mitral area.

Point of maximum intensity (PMI) : 5th intercostal space at the left midclavicular line.

Aortic valve: 2nd right intercostal space. Pulmonic valve : 2nd left intercostal space. Erb’s point: 3rd left intercostal space. Tricuspid: 4th left , mitral 5th left intercostal space.



S1 and S2 present. Regular rhythm and rate. Auscultation of Aortic, Pulmonary, Erb’s Point, tricuspid and mitral valves no bruits.

Physiologic splitting of S2 occurs due to unsynchronized closure of pulmonary and aortic valves during inspiration

Abdominal aorta: no thrills/bruits.


Peripheral exam:

Extremities without visual abnormalities, skin is warm, no jaundice, no edema, no varicose veins. Radial pulse: bilateral equal grade 3+. Brachial pulse: bilateral equal grade 3+. Femoral pulse: bilateral: bilateral equal grade 3+. Popliteal pulse bilateral equal grade 3+ Dorsalis pedis pulse bilateral equal grade 3+. Posterior tibial pulse bilateral equal grade 3+

Capillary refill in finger and toes:< 2 sec

Fingers: No clubbing, cyanosis, tar staining or splinter hemorrhages.



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References: 2 high-level scholarly references within the last 5 years in APA format.

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  • Heart rate and rhythm: The healthcare provider will listen to your heart using a stethoscope to check your heart rate and rhythm. They will also check for any abnormal sounds, such as murmurs or extra heart sounds. Peripheral pulses: The healthcare provider will check the pulses in your arms and legs to ensure they are strong and equal on both sides. Jugular venous pressure (JVP): The healthcare provider will assess the JVP, which is a measure of the pressure in the jugular vein. Elevated JVP can be a sign of heart failure.

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