NACAN Clinical Skills

Cardiovascular Pulse – radial, rate & rhythm, B/P,
Anaemia, cyanosis – central & peripheral
JVP – elevation, oedema, apex beat position,
Heart sounds + systolic murmurs (mitral regurgitation & aortic stenosis)
Auscultation of lung bases, clinical features of DVT.
Respiratory Clubbing, CO2 retention flap, cyanosis – central & peripheral,
Respiratory rate, accessory muscles, trachea position,
Chest shape/scars/movement
Chest – percussion/breath sounds/vocal resonance.
Abdominal Stigmata of liver disease, hydration status, abdominal inspection,
Palpation for comfort/guarding/hepatomegaly,
Bladder palpation & percussion, inguinal hernial orifices,
Bowel sounds, rectal examination (when to perform).
Neurological Glasgow coma scale, Abbreviated Mental Test Score,
Facial weakness, limb weakness,
Meningism, features of septicaemia
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