Examination Of Precordium Introduction Consent 1.Inspection Visible Scar marks Deformity Pectus Excavatum Carinatum Any bulge in the thorax Any visible pulsation Anything Abnormal 2. Palpation Must rub your hands if cold weather (i) First palpate Apex beat feel it with your fingers after feeling count it from Manubrium Sterni which is in the 2nd intercostal space Locate intercostal space & weather it is in mid clavicular line or displaced Check weather Apex beat is normal or Tapping or Heaving with your finger If Tapping your finger will be tapped/touched slightly. If Heaving your finger will be lifted upwards (not just touched) Ill heave finger lifted up for short time Well sustained heave finger lifted up for long time (ii) Right Ventricular Heave/ Left Parasternal Heave (iii) Palpate both Aortic & Pulmonary Areas with fingers & palms of your hand to see if a thrill is present or not. (iv) Palpate trachea (v) Feel Epigastric Pulsation 3. Auscultation Starts from MITRAL AREA after locating AB i. Place the steth at mitral area ii. Synchronize it with carotid iii. Give command Of Respiration to patient Murmur of right heart exaggerate during inspiration & left heart exaggerate during expiration سانس اندر لیں باہر نکالیں اور روک لیں iv. Ask patient to go to left lateral position see if there is an exaggeration of a murmur Murmur of Aortic regurgitation exaggerates in this position v. Check radiation of murmur in axillary area Now TRICUSPID AREA same 3 steps Place the steth at exact area Synchronize it with carotid Give command of respiration سانس اندر لیں باہر نکالیں اور روک لیں Next PULMONARY AREA Place the steth at exact point Synchronize it with carotid artery pulsation Give command of respiration سانس اندر لیں اور روک لیں NEXT AORTIC AREA i. Place the steth at exact area ii. Synchronize it with carotid iii. Give command of respiration سانس اندر لیں باہر نکالیں اور روک لیں iv. Ask the patient to sit up & lean forward to check gor murmur of aortic as it exaggerates in this position بیٹھیں اور تھوڑا سا جھک جائیں v. Check the radiation in the neck 4. Do the relevant examination Look for the basal crepts Do The Hepatojugular reflex Look for hepatomegaly Look for Pedal Edema Examine Hands for signs of Infective endocarditis like Splinter Hemorrhages Janeway Lesions Osler Nodes Petechiae Bruises & other things. Say thank you & cover the patient
@movieshorts9218 Жыл бұрын
Tricuspid command will be same as pulmonary سانس اندر لیں اور روک لیں
@humairaakram6378 Жыл бұрын
❤❤
@muhammadsudais64279 ай бұрын
Thank you
@itschillmed9 ай бұрын
Thank u
@theoptimistic95474 ай бұрын
Jazakallah 🎉
@brominder Жыл бұрын
Description of Findings I've an 8 years old boy lying comfortably on bed with no obvious distress or dysmorphic features. (environment of pt Cannulated or not O2 administered or not) On Inspection there are no visible Scar marks or visible pulsations, no deformity Pectus Excavatum Carinatum or any other. On palpation AB is in 5th intercostal space in mid clavicular line tapping in character. There were no Parasternal Heave or thrill present. The Trachea was central & there are no epigastric pulsations Both the first & second heart sounds are audible with grade 3 pan systolic murmur maximum heard at the lower left para sternal border radiating to the whole of precardium with no exaggeration on respiration & change of posture. The pitch of the murmur is high & the character of murmur was harsh/blowing This child is not in heart failure & there are no signs of Infective endocarditis.
@iqranawaz7991 Жыл бұрын
saved me sm time
@mishalfatima94163 жыл бұрын
Have an ospe tomorrow. These videos saved my life 💯
@emerybraedon21823 жыл бұрын
Your videos are very informative and well done and your little patient is just precious and so cooperative.
@sadeesahmad63414 күн бұрын
Behind the Respected Sir There's picture of respected worthy vice chancellor Dr M. Umar Sitara e imtyaz ❤😊
@WaleedKhan-nv9rr Жыл бұрын
JazakAllah o khairan kasiraa....may Allah bless you sir always. So helpful videos
@EnriqueLopez-hb5jn3 жыл бұрын
Awesome information, this just makes it easier, to test the patient in question,👌🏽👌🏽👌🏽👌🏽👍🏼👍🏼👍🏼👍🏼👍🏼
@johnblaesel54937 ай бұрын
Very brave little boy laying real still while the doctor is squeezing and pressing on his stomach. Maybe he’s the doctor’s kid!
@dr.sidrakhan90554 жыл бұрын
Great videos.really like them.thank you dr junaid for making examination so much easy for us
@explorepakistan89312 жыл бұрын
Best way to teach clinicals ❣️
@blacktiger157611 ай бұрын
Jazak Allah Sir... Very informative especially the variation with respiration point
@margeenashahrukh81613 жыл бұрын
Very helpful . JazakALLAH
@hinzajaved38903 жыл бұрын
Amazing sir❤️ Keep doing 🙌
@wardaarooj39283 ай бұрын
Found something worthy ❤
@doctorGull_Ortho4 жыл бұрын
JazakAllah! Really Helpfull☺️ Thank You Sir♥️
@asmahaque85583 жыл бұрын
Thank you, great video!
@drfaheemullah...childrensp86853 жыл бұрын
Very useful video ...Jazaka Allah sir ... But one step u forget I think sir ,u have not check pulse 🤔
@user-bi5kd8jm4o7 ай бұрын
you didnt tell about where to examine which area from where, for example at which intercostal space is the mitral, pulmonary etc. also the findings you told were of a normal patient ???? please confirm
@user-dd2fq9wd4q3 ай бұрын
Amazing 🎉❤
@wafaa85553 ай бұрын
😊
@jiakhan86 Жыл бұрын
Very welldone doc 👌
@waqarahmadtahir78803 жыл бұрын
perfect,awesome,crossed limits
@areebaqamar217210 ай бұрын
excellent video
@doctorsufian36053 жыл бұрын
Amazing sir g💓
@drbismashakeel3 жыл бұрын
Allah Apka bohat bhala kary
@amirhossainhalder99842 жыл бұрын
Love from india kolkata
@sidrajamshed13174 жыл бұрын
JazakAllah Great sir
@sqadir883 жыл бұрын
sir can you pls explain the commands you gave while auscultating pulmonary and aortic area
@bluemoon37903 жыл бұрын
Btaya to h jo bhr walay areas mitral aortic un m sans Bhar nikal k rokny r Baki 2 m andr l k rok ny
@syedafatimanaz25012 жыл бұрын
JazakAllah khair sir
@drkhalidrasheed7659 Жыл бұрын
Nice one sir
@azmatkhan-xi4vd2 жыл бұрын
Excellent 👍
@shafaqkhanvlogs6304 Жыл бұрын
Thank you sir.
@msabihparacha Жыл бұрын
So its a case of VSD then (inferred from the description of murmur)?
@awadood58663 жыл бұрын
Dont we put bell for mitral murmurs?
@koonjasghar74772 жыл бұрын
First we auscultate with diaphragm and then close it and again auscultate with bell on mitral as well as aortic areas but in this video he didnot mentioned it
@hafsahussain19083 жыл бұрын
🙌🏽
@umarfarooq423 жыл бұрын
Sir kindly make vedio on Albinism examination
@medstudywithhf41823 жыл бұрын
Thanku dr 👍👍👍
@sososalih26373 жыл бұрын
عاشت ايدك والله
@alyamanytub95503 жыл бұрын
تسلمي سارة
@allahhuakbar73623 жыл бұрын
Excellent
@channell11043 жыл бұрын
7:05 9:05
@channell11043 жыл бұрын
5:10 best
@eagle30374 Жыл бұрын
Saviour,,👏
@mylmaz10203 жыл бұрын
Aleikum salam. 🇹🇷
@eishashoaib20993 жыл бұрын
Thanku so much sir
@fayalowid28512 жыл бұрын
وعليكم السلام
@sairabatoolrizvi7029 Жыл бұрын
Awesome
@drzubairahmad70993 жыл бұрын
Sir g vedio banatay huway plz ye camra work tek karay
@medicohelper7863 жыл бұрын
Explaination given at the end was of normal child???
@pakistanacademyofpediatric23783 жыл бұрын
Yes It was a template U will edit it according to your case findings in the your examination
@hani8632 жыл бұрын
Why do we syncronise with carotids?
@AbhishekSharma-or7ce Жыл бұрын
To differentiate between S1 and S2 S1 syncs with carotid pulse