toronto notes - case 3_ volume status
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Toronto Notes - Case 3_ Volume StatusTRANSCRIPT
11/24/12 Toronto Notes - Case 3: Volume Status
1/1www.torontonotes.ca/osce-cardiovascular/case-3:-volume-status
Case 3: Volume StatusPlease assess the volume status of Mr. Kennedy, a 61 year old male, and comment on your findings.
Physical Examination
Vitals
Assesses heart rate by palpating the radial pulse
Measures blood pressure while supine
Assesses orthostatic changes by measuring blood pressure and heart rate with patient standing
Comments on vital signs findings of a patient who is hypovolemic
JVP
Observes JVP with correct patient position (30 degrees head-up-tilt); adjusts patient accordingly if JVP is not
initially evident
Confirms JVP by changing angle of head of bed
Occludes JVP to confirm location
Comments on the multiple waveforms of the JVP
Comments on the JVP height
Peripheral Vasculature
Comments on capillary refill
Comments on skin turgor, mottling
Comments on mucus membranes
Examines for peripheral edema
Comments on peripheral temperature
General OSCE Tips
Respirology
Cardiovascular
Gastroenterology
Musculoskeletal
Urology
Pediatrics
Peripheral Vascular
Women's Health
Neurology
Psychiatry
Ophthalmology and Otolaryngology
Geriatrics
Case 1: Shortness of Breath
Case 2: Chest Pain
Case 3: Volume Status
Case 4: Syncope
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