CNS Examination-Ryder

CNS Examination-Ryder

Cranial Nerves 9,10,11,12

Motor system examination legs

Motor System Arms

Motor Neuron disease

Median Nerve Palsy

Ankle Clonus

7th Cranial Nerve 

Polio

Cerebellar Gait

Trendelenberg Gait

Romberg's sign

Spastic Gait

Hemiplegic Gait

Parkinsonian Gait

Cerebellar Ataxia

Hemiballismus

Dysdiadechokinesis

Clasp Knife Spasticity

Exaggerated Knee Reflex

Foot drop

Parkinsonian tremors in foot

Spastic dysarthia

Ataxic dysarthia

Developmental apraxia

Fundoscopy Technique

Diabetic retinopathy

Retinitis Pigmentosa

Optic Atrophy

Retinal Vein Thrombosis

CNS Examination-Ryder

Ocular Muscles

3rd Nerve Palsy

Horner's Syndrome

Marcus Gunn Pupil

Occulomotor Nerve Palsy

Abducent Nerve Palsy

Vertical Nystagmus

4th Cranial Nerve Palsy

Peripheral Neuropathy

Cranial Nerve I and II Examination

CNS Examination

Visual Fields

Central Scotoma

Snellen Chart

Visual Fields

Abdominal Examination- Ryder pg 22-25, pg 106-135

Spider Naevi

Xanthelesma

Dupuytren's contracture

Leuconychia

Telangiectasis

Peutz-Jeghers Syndrome

Koilonychia

Paronychia

Toxic drugs for liver MICAPS (Methorexate, Methyldopa, Isoniazid, Carbon Tetrachloride, Amiodarone, Aspirin, Phenytoin, Sulfonamides)

Hepatosplenomegaly

APKD

Transplant incision

Glandular Fever

Syphilitic gummas

Meig's syndrome

lymphadenopathy

PBC

Mycotic Aortic aneurysm

Crohns disease (Perianal)

Pyoderma gangrenosum

Hemochromatosis arthopathy

Hemochromatosis (Cardiac)

Nephrotic Syndrome

Minimal Change Disease

Focal Segmental Glomerulosclerosis

Membranous GN

Mesangiocapillary GN

Fibrillary GN

Felty's syndrome

Rheumatoid Nodules

Images for Ryder- Respiratory system

Bronchiolitis Obliterans

Pulmonary infract

Prader-Willi syndrome

Erythema Nodusum

Phlyctenular Conjuctivitis

Respiratory Examination- Images for Ryder

Bronchiectasis 

ARDS

Chronic bronchitis

Abscess 

Kaplan's syndrome

Abram's needle

Blue Bloater

Pink Puffer

Rheumatoid lung

SVCO

Hypertrophic pulmonary osteoarthropathy

Acanthosis Nigricans

Erythema Giratum Repens

Thoracoplasty for TB

Respiratory Examination-2

Stridor

Pleural friction rub

Respiratory Examination

Fine crackles

Bronchial sounds

Vesicular sounds

Coarse Crackles

Wheeze

Rhonchi

Palpitations

Recall cardiac electrophysiology relevant to ECG interpretation 

Recall common causes of palpitations 

Recall the categories of arrhythmia 

Recall common arrhythmogenic factors including drugs 

Recall the indications, contraindications and side effects of the 

commonly used anti-arrhythmic medications 

Demonstrate knowledge of the management of Atrial Fibrillation 

Elucidate nature of patient’s complaint 

Order, interpret and act on initial investigations appropriately: ECG, 

blood tests 

Recognise and commence initial treatment of arrhythmias being 

poorly tolerated by patient (peri-arrest arrhythmias) 

Ensure appropriate monitoring of patient on ward 

CMT- Chest pain

List and distinguish between the common causes for each category of 

chest pain and associated features: cardiorespiratory, , 

musculoskeletal, upper GI 

Define the pathophysiology of acute coronary syndrome and 

pulmonary embolus 

Identify the indications for PCI and thrombolysis in ACS 

Identify the indications and limitations of cardiac biomarkers and 

dimer analysis 

Outline emergency and longer term treatments for PE 

Outline the indications for further investigation in chest pain 

syndromes: CT angiography and tread mill 

Breathlessness- Core medical training

Breathlessness Core Medical Training 

© Copyright of Federation of Royal Colleges of Physicians UK Page 49 of 191 

The trainee will be able to assess a patient presenting with breathlessness to produce a valid 

differential diagnosis, investigate appropriately, formulate and implement a management plan 



 

Recall the common and/or important cardio-respiratory conditions that 

present with breathlessness 

Differentiate orthopnoea and paroxysmal nocturnal dyspnoea 

Identify non cardio-respiratory factors that can contribute to or present 

with breathlessness e.g. acidosis 

Define basic pathophysiology of breathlessness 

List the causes of wheeze and stridor 

Outline indications for CT chest (page 10), CT pulmonary angiography (pg 475), 

spirometry (page 8)

Skills 

Interpret history and clinical signs to list appropriate differential 

diagnoses: 

Differentiate between stridor and wheeze 

Order, interpret and act on initial investigations appropriately: routine 

blood tests, oxygen saturation, arterial blood gases, chest x-rays, 

ECG, Peak flow test, spirometry 

Initiate treatment in relation to diagnosis, including safe oxygen 

therapy, early antibiotics for pneumonia 

Perform chest aspiration and chest drain insertion 

Recognise disproportionate dyspnoea and hyperventilation 

Practice appropriate management of wheeze and stridor 

Evaluate and advise on good inhaler technique 

Recognise indications for ventilatory support, including intubation and 

non-invasive ventilation 

Exhibit timely assessment and treatment in the acute phase exhibit timely assessment and treatment in the acute phase 

Recognise the distress caused by breathlessness and discuss with 

patient and carers 

Recognise the impact of long term illness 

Consult senior when respiratory distress is evident 

Involve Critical Care team promptly when indicated 

 

Exhibit non-judgemental attitudes to patients with a smoking history

ASD

ASD

ASD picture

ASD CXR

VSD CXR 

Infective Endocarditis

Petechiae

Osler's nodes

Janeway Lesions

Roth's spots

Ryder Murmurs-2

Pulmonary Stenosis

Coarctation of the Aorta

Ebstein's Disease

Mitral Valve Prolapse

Ryder Murmurs

Heart Sounds
VSD
Mitral incompetence
Mitral stenosis
Aortic Stenosis
Aortic Incompetence

Prosthetic valves pg 138 ryder

Prosthetic mitral valve
Mitral Ball and Cage valve
Prosthetic aortic valve
Prosthetic aortic valve CT video

Heart examination pg 14-16 ryder

Cyanosis
Frank's sign
Corrigan's sign
Left thoracotomy Scar
Splinter hemorrhages
Measure JVP
Apex beat

Slow pulse pg 167 Ryder

Cannon Waves

Irregular pulse Ryder pg 153-154

Pulse
Exopthalmos
Mitral Stenosis

pg 12 Ryder

Teratology of Fallot with blalock's shunt
Coarctation of the Aorta

Ryder pg 11 Images and videos from the internet

Examine this patient's pulse

Face

Malar flush

Myxoedema 

Hyperthyroidism 

Hypothyroidism 

Neck

Corrigan's Pulsation 

Raised JVP 

Thyroidectomy Scar 

Rest of Survey

Ascites 

Clubbing 

Pretibial myxoedema

Ankle odema 

Pulse -Rate

Pulse -Character

Collapsing Pulse 

Slow rising pulse 

Bisferiens Pulse

 

PACES Prep

This is a good link to Cardiovascular examination that I found useful http://www.epidaurus.org/node/51