OSCE

The cardiovascular system

M107 Sung hua, Chiu

1
(1) 45
(2) SCM
(3)
(4) +
+
2
(elevated jugular pressure)
Method
()

() sternal notch
()>4cm

<>
Method Abdominojugular test
(Hepatojugular reflex)
(1) RUQ (Liver) 10-30
(2)

3
(1) 1-2cm
(2) bruits
4
(1) heave () left parasternal region
heaveright ventricular hypertrophy
(2) thrill (large areas of sustained outward motion)
5
(1)

left lower sterna

border
apex ()

(2)
(S1)

(S2)(A2)
(P2)

(S3)

(S4)

Pathological( lower sterna border apex )

(3)
S1 left lower sterna border or apex
S2
S3 Left-sided S3 apex
Right-sided S3 left lower sterna border
S4 Left-sided S3 apex
Right-sided S3 left lower sterna border
(S1S2 S3S4 )
6

Slightly superior and lateral to the left of the umbilicus

CV angles

Pepliteal fossa

achillis tendon