Orientation 2 Jeopardy Template

Blood Pressure Measurement	Best Positions	Cardinal Techniques	Landmarks	ECG
100 The elbow is slightly flexed with the brachial artery at the level of the heart. The correct position of the arm when taking the blood pressure	100 sitting thorax & lungs	100 palpation joint crepitus	100 sternal angle/ angle of Louis best guide for counting the ribs & interspaces	100 4th ICS to the right of the sternum lead placement of V1
200 ~ 2.5 cm above the antecubital fossa The proper placement of the cuff	200 supine with head of bed raised 30 degrees cardiovascular system (JVP, PMI, murmurs)	100 auscultation valvular pathology	200 5th ICS just medial to the left mid clavicular line or 7-9 cm from the sternal line location of the point of maximal impulse (PMI)	200 midaxillary line same level as V4 & V5 lead placement of V6
300 Pevent discomfort from unnecessarily high cuff pressure Rationale for estimating the systolic BP by palpation method before actual BP measurement	300 left lateral decubitus rectal exam & prostate	100 inspection respiratory distress	300 at or near the lower left sternal border murmurs originating from the tricuspid valves	300 1 mv (10 mm) & 25mm/sec standard voltage and speed
400 auscultatory gap a silent interval that may be present between systolic and diastolic pressures	400 dorsal lithotomy pelvic & rectal exam	100 percussion dullness, resonance, or tympany	400 2nd interspace left surface marker for the pulmonary artery	400 smooth like a hill normal configuration of the p wave
500 "white coat" hypertension a condition wherein the office BP is high but the ambulatory pressures are normal	500 sitting, leaning forward murmur of aortic insufficiency	200 auscultation distinguish pleural fluid from mass in lungs	500 The inferior angle of the scapula lies at the level of the 7th rib. The interspace T7-T8 is a landmark for thoracentesis. a useful bony landmark in the posterior thorax	500 normal, but if prominent assoociated with T wave changes it may indicate hypokalemia significance of the presence of p wave

The Physical Exam

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