Paediatric Cardiovascular Exam

osce-stations.blogspot.com/2016/05/paediatric-cardiovascular-exam.html

Introduces self 0 1

Confirms name & age of patient 0 1

Explains & gains consent from parents and child 0 1

Washes hands 0 1

Exposes patient from waist up and positions at 45 degrees 0 1

Asks if patient is in pain 0 1

Asks to see red book to check growth and vaccination history. Offers to 0 1
plot current height and weight

General inspection around bed & patient (breathing, scars, sounds, 0 1

dysmorphic features of Downs, Turners and Marfans)

Feels hands for temperature changes, cyanosis, capillary refill time 0 1

Checks hands for nail clubbing, splinter haemorrhages, Janeway lesions 0 1

and Osler nodes

Feels radial pulse and comments on rate & rhythm 0 1

Asks to feel for brachial-brachial and radiofemoral delay 0 1

Asks for blood pressure 0 1

Feels carotid pulse, comments on volume & character 0 1

Checks for water hammer pulse 0 1

Inspects eyes for conjunctival pallor 0 1

Inspects mouth for central cyanosis, high arched palate 0 1

Assesses and comments on JVP 0 1

Palpates apex beat 0 1

Palpates for heaves & thrills 0 1

Auscultates over mitral area on expiration leaning on left. Listens for 0 1

radiation in axillary area

Auscultates over tricuspid area with patient leaning forward on both 0 1

inspiration and expiration

Auscultates over pulmonary area on inspiration 0 1

1/2
Auscultates over aortic area on expiration and carotid for radiation 0 1

Auscultates under left clavicle and on the back between shoulder blades 0 1

If murmur present comments on intensity, site, character, pitch, radiation 0 1

Listens over lung bases 0 1

Feels for oedema 0 1

Thanks patient and offers help to redress 0 1

Washes hands 0 1

Requests to palpate pulses, ECG, dip urine, fundoscopy 0 1

Summarises appropriately with only key findings 0 1

Offers appropriate differential diagnoses 0 1

Patient global score 0 1 2

2/2