Full sequence: several maneuvers combined into one smooth exam
Full Sequence
Cardiovascular Exam: Full Sequence
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Video coming soon
This video shows one approach to combining several maneuvers of the cardiovascular exam into a smooth, logical sequence, ordered by patient positioning and gowning. Each maneuver's technique, findings, and evidence are on its own page, linked below.
Maneuvers in This Sequence
🎬Video coming soon
Abdominal Aorta Palpation
Rule in:VHAbdominal Aortic Aneurysm
Rule out:MHAbdominal Aortic Aneurysm
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Abdominojugular Reflux
aka Hepatojugular reflux
Rule in:SHElevated Pulmonary Capillary Wedge Pressure, SHHeart Failure, IEConstrictive Pericarditis +1 more
Rule out:ICElevated Pulmonary Capillary Wedge Pressure, NHHeart Failure, IEConstrictive Pericarditis +1 more
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Allen Test
aka Modified Allen test
Rule in:VHIncomplete Palmar Arch, SHRadial Artery Occlusion, SHUlnar Artery Occlusion +1 more
Rule out:SHIncomplete Palmar Arch, MHRadial Artery Occlusion, ICUlnar Artery Occlusion +1 more
🎬Video coming soon
Ankle-brachial Index
aka Ankle-brachial pressure index; ankle-arm index
Rule in:HPeripheral Artery Disease, SHMedial Arterial Calcification, IECritical Limb Ischemia +1 more
Rule out:SHPeripheral Artery Disease, NHMedial Arterial Calcification, IECritical Limb Ischemia +1 more
🎬Video coming soon
Blood Pressure
Rule in:VHHypovolemia, VHMortality, VHStructural Brain Lesion +22 more
Rule out:VHCardiac Tamponade, VHHypovolemia, HLow Cardiac Output +22 more
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Brachial Artery Palpation
Rule in:IEAortic Regurgitation, IEAortic Stenosis, IEReduced Left Ventricular Ejection Fraction
Rule out:IEAortic Regurgitation, IEAortic Stenosis, IEReduced Left Ventricular Ejection Fraction
🎬Video coming soon
Calf Circumference
Rule in:HLumbosacral Radiculopathy, SHSarcopenia, MHDeep Vein Thrombosis +1 more
Rule out:SHSarcopenia, MHDeep Vein Thrombosis, NHLumbosacral Radiculopathy +1 more
🎬Video coming soon
Capillary Refill
aka Capillary refill time | CRT | Nail blanch test
Rule in:VHMortality, VHPostoperative Complication, HHypovolemia +8 more
Rule out:HMortality, SHPostoperative Complication, MHDehydration +8 more
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Cardiac Auscultation
Rule in:VHAortic Stenosis, VHHeart Failure, VHHypertrophic Cardiomyopathy +37 more
Rule out:VHAortic Stenosis, VHHypertrophic Cardiomyopathy, VHRight-sided Valvular Lesion +37 more
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Carotid Artery Auscultation
Rule in:SHCarotid Artery Stenosis
Rule out:MHCarotid Artery Stenosis
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Carotid Artery Palpation
Rule in:HAortic Stenosis, HTakayasu Arteritis, IEAcute Aortic Dissection +9 more
Rule out:SHAortic Stenosis, NHTakayasu Arteritis, IEAcute Aortic Dissection +9 more
🎬Video coming soon
Edema Assessment
Rule in:SHAscites, SHCirrhosis, SHCushing Syndrome +14 more
Rule out:HAscites, MHHeart Failure, NHCirrhosis +14 more
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Femoral Artery Palpation
Rule in:VHAortic Coarctation, VHFemoral False Aneurysm, SHAortoiliac Occlusive Disease +1 more
Rule out:VHFemoral False Aneurysm, NHAortic Coarctation, ICAortoiliac Occlusive Disease +1 more
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Hand Inspection
Rule in:HHepatopulmonary Syndrome, HHypoxemia, SHCrohn Disease +17 more
Rule out:SHHepatopulmonary Syndrome, SHOsteoarthritis, MHAnemia +17 more
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Heart Rate
Rule in:SHAtrial Fibrillation, SHDecompensation, SHHypothyroidism +15 more
Rule out:HDecompensation, SHAtrial Fibrillation, SHPostoperative Complication +15 more
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Jugular Venous Pressure
Rule in:VHShock, HRight Ventricular Infarction, SHElevated Pulmonary Capillary Wedge Pressure +14 more
Rule out:HRight Ventricular Infarction, SHElevated Pulmonary Capillary Wedge Pressure, SHPulmonary Hypertension +14 more
🎬Video coming soon
Lower Extremity Inspection and Palpation
Rule in:VHDiabetic Foot Osteomyelitis, VHKnee Osteoarthritis, HAchilles Tendon Rupture +7 more
Rule out:SHAchilles Tendon Rupture, SHDiabetic Foot Osteomyelitis, SHKnee Osteoarthritis +7 more
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Neck Vein Inspection
Rule in:HAtrioventricular Nodal Reentrant Tachycardia, HHeart Failure, SHShock +1 more
Rule out:SHShock, MHHeart Failure, NHAtrioventricular Nodal Reentrant Tachycardia +1 more
🎬Video coming soon
Orthostatic Blood Pressure
aka Orthostatic vital signs; postural vital signs
Rule in:VHAutonomic Neuropathy, VHHemorrhage, VHHypovolemia +6 more
Rule out:VHAutonomic Failure, VHHemorrhage, SHMultiple System Atrophy +6 more
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Pallor Evaluation
Rule in:SHAnemia, IEMyocardial Infarction
Rule out:MHAnemia, IEMyocardial Infarction
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Pedal Artery Pulse Palpation
Rule in:SHPeripheral Artery Disease
Rule out:SHPeripheral Artery Disease
🎬Video coming soon
Point of Maximal Impulse
aka Apical impulse; apex beat
Rule in:VHAortic Stenosis, VHHypertrophic Cardiomyopathy, VHLeft Ventricular Dilation +14 more
Rule out:VHAortic Stenosis, VHLeft Ventricular Dilation, SHLeft Ventricular Hypertrophy +14 more
🎬Video coming soon
Precordial Palpation
Rule in:SHChronic Obstructive Pulmonary Disease, SHPulmonary Embolism, SHPulmonary Hypertension +2 more
Rule out:NHChronic Obstructive Pulmonary Disease, NHPulmonary Embolism, NHPulmonary Hypertension +2 more
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Pulsus Paradoxus
aka Paradoxical pulse
Rule in:SHAsthma Exacerbation, SHCardiac Tamponade, IEChronic Obstructive Pulmonary Disease Exacerbation +2 more
Rule out:VHCardiac Tamponade, SHAsthma Exacerbation, IEChronic Obstructive Pulmonary Disease Exacerbation +2 more
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Radial Artery Palpation
Rule in:VHHypovolemia, HAtrial Fibrillation, SHShock +6 more
Rule out:VHAtrial Fibrillation, SHShock, MHHypovolemia +6 more
🎬Video coming soon
Renal Artery Auscultation
Rule in:VHRenovascular Hypertension
Rule out:SHRenovascular Hypertension
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Schamroth Sign
aka Schamroth window test
Rule in:HDigital Clubbing
Rule out:HDigital Clubbing
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Temporal Artery Palpation
Rule in:SHGiant Cell Arteritis
Rule out:MHGiant Cell Arteritis