The document outlines a comprehensive cardio assessment approach by Dr. Samir Jadav, including demographic details, subjective and objective assessments of various respiratory symptoms such as dyspnea, cough, and chest pain. It details specific scales and grading systems used for evaluation, as well as vital sign monitoring and examination techniques for respiratory health. The document serves as a guide for diagnosing and treating patients with cardiac-related symptoms.

1. CARDIO
ASSESSMENT
DR.SAMIR JADAV

2. DEMOGRAPHIC DETAILS
NAME
AGE
GENDER
WEIGHT/HEIGHT
OCCUPATION
ADDRESS: Emphasis on stairs
REF. BY
PROVISIONAL DIAGNOSIS
CHIEF COMPLAINTS
HISTORY

3. H/O PRESENT ILLNESS
PAST MEDICAL HISTORY
DRUG HISTORY
FAMILY HISTORY
SOCIOECONOMIC HISTORY
LIFESTYLE/PERSONAL HISTORY
SUBJECTIVE ASSESSMENT
For each of these symptoms, ask about:
DURATION,SEVERITY,PATTERN,ASSOCIATED
FACTORS
(01) BREATHLESSNESS/DYSPNEA
Assessment with,
-NYHA grading
-Borg’s scale

4. -ATS dyspnea scale
-VAS scale
(02) COUGH
(03) SPUTUM Colour ,consistency & quantity
(04) HEAMOPTYSIS
(05) WHEEZE
(06) CHEST PAIN -type
-pain intensity: nprs/vas scale
(07) Other Symptoms

5. -Fever
-Fatigue & weakness
-Headache
-Peripheral edema
(08) FUNCTIONAL ABILITY
-Inquiry about his ADL
-FIM scale
OBJECTIVE ASSESSMENT
GENERAL OBSERVATION

6. LEVEL OF CONCIOUSNESS
- GCS scale
BODY BUILT
- Ectomorph, Mesomorph,
Endomorph.
OBSERVATION OF HANDS
CLUBBING
OBSERVATION OF EYES
PERIPHERAL EDEMA
OBSERVATION OF CHEST

7. (1) CHEST SHAPE. e.g, barrel chest, funnel
chest, pigeon chest,
flat chest
(2) BREATHING PATTERN.
female :- thoraco-abdominal
male :- abdomino-thoracic
thoracic:- diaphragm paralysis, peritonitis,
ascites
abdominal:- pleurisy, lung collapse
(3) TYPE OF BREATHING
(4) CHEST MOVEMENT

8. ON EXAMINATION
VITALS :- TEMP., BP, HR, RR.
ON PALPATION
-TRACHEA
-TENDERNESS
-TACTILE VOCAL FREMITUS
-CHEST EXPANSION
ON PERCUSSION

9. ON AUSCULTATION
(1)BREATH SOUNDS :- bronchial,
bronchovesicular,
vesicular.
(2) FOREIGN BREATH SOUNDS :- wheeze,
crackles,
rhonchi.
(3) VOCAL RESONANCE SOUND

10. INVESTIGATIONS
DIAGNOSIS
TRATMENT
-Aims
-Means

11. NEWYORK HEART ASSOCIATION SCALE

12. AMERICAN THORACIC SOCIETY SCALE

13. BORG’S SCALE

14. MODIFIED BORG’S SCALE

15. VAS SCALE :-
NPRS :-

16. FIM SCALE :-

17. GCS SCALE:

18. THANK YOU…