Heart Examination

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Pemeriksaan Fisik Sistem
Kardiovaskular
Aldo Ferly
PF sistem kardiovaskular
• Pemeriksaan prekordial
• EKG
Pemeriksaan Prekordial
•
•
•
•
Inspeksi
Palpasi
Perkusi
Auskultasi
Heart’s Inspection
1)Inspect the location of ictus cordis
2)Stated correctly the location of ictus cordis
Heart’s Palpation
1)Apply his/her palm on the thorax wall with a
soft pressure
2)Stated correctly the location of ictus cordis
Significance of Apex Beat
Lateral apex  signs of Cardiomegally
what causes cardiomegally?
Heart’s Percussion
1)Do percussion on the anterior left linea
axillaris to find the margin between lung and
gaster
2)Two fingers above the lung and gaster’s
margin, do a percussion medially to find the left
margin of the heart
Heart’s Percussion
3) Do percussion on the left linea parasternalis
downward to find heart’s waist
4)Do percussion on the right linea midclaviculae
to find the margin between the lung and liver
5)Two finger above the lung and liver’s margin,
do a percussion medially to find the right margin
of the heart
Heart’s Auscultation
1)Do auscultation while comparing with artery
pulsation
2)Auscultate mitral valve (5th intercostal
midclavicular)
3)Auscultate tricuspid valve (4th left linea
sternalis)
4)Auscultate pulmonal valve (2nd left linea
sternalis)
5)Auscultate Aorta valve (2nd left linea sternalis)
Report
• Dari inspeksi: iktus kordis tidak terlihat
• Dari palpasi: Iktus kordis tidak teraba
• Dari perkusi, didapatkan bahwa batas jantung
normal.
• Dari auskultasi:
–
–
–
–
Katup mitral
Katup trikuspid
Katup Pulmonal
Katup Aorta
:
:
:
:
Don’t forget to
EKG
• Question:
– Leads attached?
– Is it sinus/not ?
– Heart Rate?
– QRS wave time and amplitude?
– Axis deviation?
– Any special features?
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