上海交通大学：《诊断学》课程PPT教学课件（英语版）Chapter 10 Examination of the Heart

Examination of the heart

Examination of the Heart

米 Examination of the heart In the present era of technological advances, particularly in the various imaging modalities, there is a growing conception among practicing physicians in cardiovascular medicine that bedside physical examination is unnecessary and does not provide useful information

Examination of the Heart In the present era of technological advances, particularly in the various imaging modalities, there is a growing conception among practicing physicians in cardiovascular medicine that bedside physical examination is unnecessary and does not provide useful information

It should be emphasized, however, that for proper application and interpretation of various new and old tests that are available for cardiovascular evaluation In a given patient

It should be emphasized, however, that for proper application and interpretation of various new and old tests that are available for cardiovascular evaluation in a given patient

Bedside clinical examination should be performed and practiced in the same way following similar sequences

Bedside clinical examination should be performed and practiced in the same way following similar sequences

Preparing the patient The heart examination should be made as easy as possible for the patient, who usually expects it to be a relatively distasteful experience. If the physician is considerate and gentle, the patient should feel when it is all over. that most of his or her fears on that score were unfounded

Preparing the patient The heart examination should be made as easy as possible for the patient, who usually expects it to be a relatively distasteful experience. If the physician is considerate and gentle, the patient should feel when it is all over, that most of his or her fears on that score were unfounded

The ideal examining room is private warm enough to avoid chilling, and free from distracting noise and sources of interruption. Adequate(preferably fluorescent or natural) light is essential

The ideal examining room is private, warm enough to avoid chilling, and free from distracting noise and sources of interruption. Adequate (preferably fluorescent or natural) light is essential

The examining table may be placed with its head against the wall, but both sides(particularly the right) and the foot should be accessible to the examiner. And the results should be recorded carefully

The examining table may be placed with its head against the wall, but both sides (particularly the right) and the foot should be accessible to the examiner. And the results should be recorded carefully

米 Examination of the heart Landmarks and topographic anatomy Certain basic landmarks midsternal line midclavicular lines

Examination of the Heart Landmarks and topographic anatomy Certain basic landmarks midsternal line midclavicular lines

Certain basic landmarks anterior, middle, and posterior axillary lines suprasternal notch identification of various ribs and intercostal space

Certain basic landmarks anterior, middle, and posterior axillary lines suprasternal notch identification of various ribs and intercostal space

Specific areas for cardiac PE sternoclavicular area aortic area pulmonary area

Specific areas for cardiac PE sternoclavicular area aortic area pulmonary area