OSCA

Question 1

Respiratory examination

Answer 1

General (CCPPA)

• Central pallor
• Central cyanosis
• Peripheral cyanosis, Clubbing
• Pulse rate
• Ankle oedema

Inspection (RRSCC)

• Respiratory distress, accessory muscle, in-sucking of IC muscle
• Respiratory rate
• Scars, Deformities, Mass
• Chest wall movement
• Cough

Palpation (TALC)

• Trachea
• Apex
• Lymph nodes
• Chest wall movement

Percussion (Anterior, Posterior, Apex)

Auscultation

• Breath sound
• Vocal resonance

Question 2

CVS examination

Answer 2

General

• Central pallor, jaundice, xanthelasma
• Central cyanosis
• Peripheral cyanosis, Clubbing, IE, Xanthoma
• Pulse rate
• Ankle oedema

Inspection
- Scar, Deformities, Mass, Abnormalities

Palpation

• Apex
• Parasternal heave
• Thrills

Auscultation

• Apex B
• Apex B (turn left)
• Apex D
• Axilla D
• Tricuspid D
• Pulmonary D
• Aortic D
• Carotid B (吸, Carotid bruit)
• Tricuspid D (呼, 起身)
• Lung base D