Write about Heart Exam here.

1. Visual Survey
• Breathlessness
• Cyanosis
• Pallor
• Malar flush
• Carotids
• Jugulars
• Valvotomy scar, midline scar
• Ankle oedema
• Clubbing, splinter haemorrhages
2. Pulse (rate & rhythm)
3. Lift up the arm (collapsing?)
4. Radiofemoral delay
5. Brachials and carotids (?slow rising?)
6. Venous pressure
7. Apex beat
8. Tapping impulse
9. Right ventricular lift
10. Other pulsations, thrills, palpable sounds
11. Auscultation
• Time heart sounds, etc.
• Turn patient onto left side
• Lean patient forwards
12. Sacral oedema (?ankle oedema)
13. Lung bases
14. Liver
15. Blood pressure