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DDx CP

Pt Assessment

QuestionAnswer
MI hypotension
pericarditis friction rub; pulsus paradoxus
aortic dissection hypotension, absent peripheral pulses, and murmur of insufficiency
P.E. hypotension
tension PTX resonance to percussion, decreased breath sounds, decreased fremitus
esophageal rupture
MVP Mid-systolic click with or without MR
myocarditis
pulmonary HTN
HOCM
aortic stenosis physical exam: harsh midsystolic crescendo-decrescendo SEM best at RUSB 2nd R intercostal, radiates to b/l carotids. Louder w/squatting, quieter w/standing or Valsalva; sit patient forward, exhalation
CHF/LVH bibasilar rales or crackles; S3 or S4 gallop; JVD; edema
pneumonia
aortic insufficiency physical exam: early diastolic & decrescendo (ejection) at 3rd L intercostal, radiates to LSB. S3 gallup
Created by: Abarnard
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