![Slide 1: Title Slide
- Title: CVS Case Proforma
- Subtitle: Comprehensive Cardiovascular System Examination
Slide 2: Patient Information
- Name: [Leave blank for filling in]
- Age: [Leave blank]
- Sex: [Leave blank]
- Occupation: [Leave blank]
- Address: [Leave blank]
- Socioeconomic Status: [Leave blank]
Slide 3: Presenting Complaints
- Chest Pain
- Shortness of Breath
- Palpitations
- Hemoptysis
- Syncope
- Swelling of Feet
Slide 4: Chest Pain
- Duration
- Onset
- Site
- Type
- Nature of Pain
- Aggravating/Relieving Factors
- Associated Symptoms (sweating, nausea, vomiting, SOB)
- Progression
- Episodes (Episodic/Continuous)
- Lasting
- Radiation
Slide 5: Breathlessness
- Duration
- Onset
- Progression
- Grading (NYHA)
- Types (Orthopnea, Platypnea, Trepopnea, PND)
- Aggravating/Relieving Factors
Slide 6: Palpitations
- Duration
- Onset
- Progression
- Grading (NYHA)
- Regular/Irregular](https://image.slidesharecdn.com/untitleddocument-240724141549-d19a7e1f/85/Cardiovascular-system-examination-proforma-ppt-1-320.jpg)
Cardiovascular system examination proforma.ppt
- 1. Slide 1: Title Slide - Title: CVS Case Proforma - Subtitle: Comprehensive Cardiovascular System Examination Slide 2: Patient Information - Name: [Leave blank for filling in] - Age: [Leave blank] - Sex: [Leave blank] - Occupation: [Leave blank] - Address: [Leave blank] - Socioeconomic Status: [Leave blank] Slide 3: Presenting Complaints - Chest Pain - Shortness of Breath - Palpitations - Hemoptysis - Syncope - Swelling of Feet Slide 4: Chest Pain - Duration - Onset - Site - Type - Nature of Pain - Aggravating/Relieving Factors - Associated Symptoms (sweating, nausea, vomiting, SOB) - Progression - Episodes (Episodic/Continuous) - Lasting - Radiation Slide 5: Breathlessness - Duration - Onset - Progression - Grading (NYHA) - Types (Orthopnea, Platypnea, Trepopnea, PND) - Aggravating/Relieving Factors Slide 6: Palpitations - Duration - Onset - Progression - Grading (NYHA) - Regular/Irregular
- 2. -At Rest/Exertion -Associated with SOB -Aggravating/Relieving Factors Slide 7: Hemoptysis -Duration -Onset -Progression -Episodes -Amount -Fresh Blood/Altered Slide 8: Syncope -Duration -Onset -Progression -Episodes -Lasting -Aggravating/Relieving Factors -Relation with Exertion Slide 9: Swelling of Feet -Duration -Onset -Site -Aggravating/Relieving Factors -Time of Day Variation Slide 10: General History -Appetite -Right Hypochondric Pain -Loss of Weight -Fatigue -Sleep -Bowel Bladder Habits -Fever -Cyanotic Spells -Oliguria Slide 11: Past History -CCF (Anorexia, Right Hypochondrium Pain, Pedal Edema, Orthopnea, PND) -RHD (Fever with Sore Throat, Fleeting Joint Pain, H/O Taking Penicillins) -Infective Endocarditis (Fever, Dental Procedures, GIT/Genitourinary Procedures) -CHD (Failure of Cry After Birth, Failure to Thrive, Recurrent RTI, Squatting Episodes, Cyanotic Spells, Consanguinity) -Other conditions (Diabetes, HTN, Asthma, PTB, Unprotected Sex, CAD, COPD, CVA, Malignancy)
- 3. Slide 12: Personal History -Smoking -Alcohol -Bowel and Bladder Habits -Diet (Veg/Mixed) -Sleep Habits -Loss of Weight/Appetite Slide 13: Family History -H/O CHD -IHD -HTN -DM -SCD Slide 14: Treatment History -Any Rx Received So Far -H/O Drug Allergy/Reactions -Any Surgical Intervention/Chemotherapy Slide 15: Menstrual/Obstetric History -Menarche -Duration -Quantity -Any Dysmenorrhea/Amenorrhea -No. of Pregnancies -Complications -Mode of Delivery -H/O Recent Delivery Slide 16: General Examination (Part 1) -Built/Nourishment -Pallor -Icterus -Cyanosis (Central/Peripheral) -Clubbing (Bilateral/Unilateral, Pandigital/Limited) -Pedal Edema (Bilateral/Unilateral, Painless/Painful, Pitting/Non-pitting, Extension, Regional) -Lymphadenopathy Slide 17: General Examination (Part 2) - Markers of Congenital Heart Disease -Dwarfism/Gigantism -Head/Neck (Low Set Ears, Hypertelorism, Mongoloid Facies, High Arched Palate, Webbed Neck) -Trunk (Kyphoscoliosis, Chest Wall Deformities) -Upper Limbs (Absent Radius, Syndactyly, Polydactyly, Arachnodactyly, Simian Crease) -Lower Limbs (Rocker Bottom Feet, Sandal Gap)
- 4. Slide 18: Specific Signs -Rheumatic Fever (Arthritis, Erythema Marginatum, Subcutaneous Nodules, Sydenham's Chorea) -Infective Endocarditis (Anemia, Fever, Jaundice, Splinter Hemorrhages, Clubbing, Splenomegaly, Arthritis, Osler's Nodes, Roth Spots, Janeway Lesions) -Atherosclerosis (Arcus Senilis, Xanthelasma, Nicotine Staining, Xanthomas) -Marfanoid Habitus (Arm Span/Height Ratio, Upper/Lower Segment Ratio, Wrist Sign, Thumb Sign) Slide 19: Vital Signs -Pulse (Rate, Rhythm, Volume, Character, Peripheral Pulses, Delays, Apex Pulse Deficit, Vessel Wall Condition) -Blood Pressure (Include Hill's Sign) -Respiratory Rate (Rate, Regularity, Type) -Temperature Slide 20: CVS Examination - Inspection of Neck -JVP (Pressure, Waveforms) -Carotids -Trachea Position -Thyroid Slide 21: CVS Examination - Inspection of Chest -Chest Wall Shape & Symmetry -Precordial Bulge -Chest Wall Deformities -Dilated Veins/Scars/Sinuses -Apical Impulse (Site, Diffuse/Localized) -Pulsations (Parasternal, Pulmonary, Aortic, Suprasternal, Epigastric, Supraclavicular, Interscapular) Slide 22: CVS Examination - Palpation -Apical Impulse (Site, Character) -Palpable Sounds & Murmurs -Pulsations (Parasternal Heave, Palpable P2, Pulmonary Arterial Pulsations, Aortic, Epigastric) -Thrill (Precordial, Carotid) -Dilated Veins (Direction of Flow) Slide 23: CVS Examination - Percussion -Upper Border of Liver Dullness -Right Border -Left Border -Area Beyond Apex Beat -2nd ICS Left Space Dullness Slide 24: CVS Examination - Auscultation (Mitral Area) - S1, S2, S3, S4
- 5. - Opening Snap/Mitral Clicks - Mitral Diastolic Murmur (MDM) - Pan/Holo Systolic Murmur (PSM/HSM) Slide 25: CVS Examination - Auscultation (Tricuspid Area) - S1, S2, S3, S4 - Tricuspid Diastolic Murmur - Tricuspid Systolic Murmur Slide 26: CVS Examination - Auscultation (Pulmonary Area) - S1, S2 (Split) - P2 Characteristics - Pulmonary Ejection Click - Ejection Systolic Murmur (ESM) - Early Diastolic Murmur (EDM) Slide 27: CVS Examination - Auscultation (Aortic Area) - S1, S2 - Ejection Click - Ejection Systolic Murmur (ESM) - Early Diastolic Murmur (EDM) Slide 28: CVS Examination - Auscultation (Other Areas) - Second Aortic Area (Erb's Area) - Infraclavicular Area (Gibson's Area) - Continuous Murmur Slide 29: Other Systems Examination - Respiratory System - Abdomen - Central Nervous System Slide 30: Diagnosis - Acquired Valvular Heart Disease - Rheumatic Etiology - Pulmonary Hypertension - Atrial Fibrillation - Congestive Heart Failure - Active Rheumatic Fever - Infective Endocarditis - Congenital Cyanotic or Acyanotic Heart Disease - Shunts (Left to Right or Right to Left)