Give the introduction to evaluation of patient clinical examination ?

A careful physical examinations is a very important for assessing the cardiovascular system and after provides important information for the appropriate investigations and diagnosis. The general physical examination should be properly evaluated, The respiratory rate central cyanisis and peripheral cyanosis should be observe carefully. Palpation of the peripheral arterial pulses in the upper and lower extremities also provide many valuable information cardiac auscultation should performed in a quiet room and for optimal auscultations attention must be focused on the phase of the cardiac cycle. The timing of the heart sound or murmur can be determined from its relation to other events in the cardiac cycle like carotid arterial pulse. The apical impulse and the juglar venous pressure.