Introduces self
0
1

Confirms name & age of patient
0
1

Explains & gains consent from parents and child
0
1

Washes hands
0
1

Exposes patient from waist up and positions at 45 degrees
0
1

Asks if patient is in pain
0
1

Asks to see red book to check growth and vaccination history. Offers to plot current height and weight
0
1

General inspection around bed & patient (breathing, scars, sounds, dysmorphic features of Downs, Turners and Marfans)
0
1

Feels hands for temperature changes, cyanosis, capillary refill time
0
1

Checks hands for nail clubbing, splinter haemorrhages, Janeway lesions and Osler nodes
0
1

Feels radial pulse and comments on rate & rhythm
0
1

Asks to feel for brachial-brachial and radiofemoral delay
0
1

Asks for blood pressure
0
1

Feels carotid pulse, comments on volume & character
0
1

Checks for water hammer pulse
0
1

Inspects eyes for conjunctival pallor
0
1

Inspects mouth for central cyanosis, high arched palate
0
1

Assesses and comments on JVP
0
1

Palpates apex beat
0
1

Palpates for heaves & thrills
0
1

Auscultates over mitral area on expiration leaning on left. Listens for radiation in axillary area
0
1

Auscultates over tricuspid area with patient leaning forward on both inspiration and expiration
0
1

Auscultates over pulmonary area on inspiration
0
1

Auscultates over aortic area on expiration and carotid for radiation
0
1

Auscultates under left clavicle and on the back between shoulder blades
0
1

If murmur present comments on intensity, site, character, pitch, radiation
0
1

Listens over lung bases
0
1

Feels for oedema
0
1

Thanks patient and offers help to redress
0
1

Washes hands
0
1

Requests to palpate pulses, ECG, dip urine, fundoscopy
0
1

Summarises appropriately with only key findings
0
1

Offers appropriate differential diagnoses
0
1

Patient global score
0
1
2