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CardioPulmDiagnosis
Cardio-pulmonary diagnosis final
| Question | Answer |
|---|---|
| Diagnosis with CHF: Right Ventricle symptoms | bilateral pitting edema |
| Diagnosis with CHF: Left Ventricle symptoms (3) | Weakness, fatigue, dyspnea |
| Bilateral pitting edema and weakness, increase or decrease in bp, ecg changes, rales, increased heart size, hyper-volemic = what condition? | CHF |
| dyspnea, cough, chest discomfort, fatigue, weakness, anorexia, low fever, granulomas in organs on x-rays = what condition? | Sarcoidosis |
| Intermittent claudication of lower extremity, muscular weakness, pain on exertion or elevation of legs. Diagnosed with DOPPLER = what condition? | Peripheral Vascular disease |
| Cold air, stress, allergens, URI = triggers for what? | Asthma |
| Asthma triggers (4) | cold air, stress, allergens, URIs |
| What conditions can chest films show? (8) | emphysema, pneumonia, consolidation, sarcoidosis, CHF, Neoplasms, TB granulomas, R.A (PEN CRST) |
| RIND stands for = | Resolving, Ischemic, Neurological, Deficit = chest pain is a ddx symptom |
| CVA = ddx from RIND and TIA | Permanent, neurological, deficit |
| painful chest attack lasting less than an hour, headache, iatrogenic. Pt. feels it as worse pain ever. Do a CT scan to dx, Refererred to often as a "mini stroke" | TIA |
| TIA = | transient ischemic attack |
| What are the 5 P's = | Pulselessness, paraesthesia, paralysis, pain, pallor = DVT |
| What condition exhibits the 5 p's | DVT |
| Severe pain, pallor, polar sensation, paraesthsia, loss of acute peripheral artery pulse | DVT |
| Extra heart sound that indicates turbulent flow | heart murmur |
| Definitive MI Diagnostic tests = (3) | ECG; Coronary Angiogram; Cardiac Markers |
| Definitive Pulmonary Embolism Diagnostic tests = (2) | Pulmonary Angiogram (invasive but gold standard); CT Scan |
| Ultrasound, Doppler flow study positives = condition? | DVT |
| What imaging test is best for CVA? | CT scan |
| How do you see pneumothorax? | On Xray |
| Expiratory wheeze = | Asthma |
| Causes of increased blood pressure = | Cardiac disease, estrogen use, renal disease, Cushing's, Coarctation of aorta, pheochromocytoma (adrenal tumor), pregnancy, smoking |
| Severe suddent onset of pain, "TEARING" felt, diaphoresis (profuse sweating), syncope = what condition? | Aortic Dissection |
| Sharp, unilateral pain, dyspnea = what condition? | Pneumothorax |
| Coughing, worse when lying down = what condition? | Post nasal drip |
| Diffuse squeezing pressure = what general diagnosis? | cardiac pain |
| Symptoms with Cardiac chest pain = | Ischemic pain, diffuse squeezing, sub-sternal, precordial, radiates to jaw, travels down arm, 10-60 minutes, nitroglycerine helps |
| Visceral chest pain = | heart burn, esophageal stuff, lungs with friction rub embolism |
| Musculoskeletal chest pain is often due to = | rib subluxation |
| Causes of decreased breath sounds = | COPD, Pneumothorax, Pleural Effusion, Pneumonia, Asthma (CAPPP) |
| PAD vs DVT = PAD signs and symptoms | Intermittent claudication in L.E; pain with use and elevation; after 4 arteries become blocked and pain is also with rest. |
| PAD vs DVT = DVT signs and symptoms | Most asymptomatic, vague aching, unilateral pitting edema, erythema, Homan's sign |
| 5 d's | Drop attack, dizziness, dyphagia, dysarthria, diploplia (plus ataxis) |
| Signs and Symptoms of Sarcoidosis | Dyspnea, cough, chest discomfort, fatigue, malaise, weakness, weight loss, anorexia, low grade fever |
| Definitive diagnosis for sarcoidosis (2) | Biopsy and Xray |
| DDX symptom for Proximal Nocturnal Dyspnea | Positional dyspnea <--laying down (type of orthopnea) |
| describe onset of of emphysema | gradual |
| describe onset of pneumothorax | sudden (trauma or while at rest) |
| describe onset of pulmonary embolism | sudden |
| Onset diagnosis of chronic bronchitis = | lasts 3 months for 2 consecutive years |
| An embolism causes two different things. What are they? | Infarction in the heart; Pulmonary embolism in the systemic vein. |
| Closing of the lumen of an artery = | Atherosclerosis |
| Decreased elasticity/ hardening of arterial walls = | Arterioslcerosis |
| pallor or cyanosis; relieved by heat= | Raynaud's |
| Most are asymptomatic, achy, edema, erythema, unilateral pitting edema = | Deep vein thrombosis |
| Intermittent claudication of L.E | Peripheral vascular disease |
| URI, sudden onset, cough, dyspnea, malaise, rales = condition? | Pneumonia |
| contralateral tracheal shift, unilateral decreased breath sounds = what condition? | Pneumothorax |
| Inability to stand while conscious due to cerebellar ischemia | Drop Attack |
| Fainting due to decreased blood flow to brain | Syncope |
| A combination of emphysema and chronic obstructive bronchitis. = what condition? | COPD |
| When does chronic bronchitis become obstructive bronchitis | When chronic bronchitis presents with spirometric evidence of airflow obstruction develops = becomes COPD |
| What can increase soft tissue markings on an x-ray? (5) | CHF, emphysema, pneumonia, TB, Sarcoidosis |
| What causes dullness on percussion? (4) | pneumonia, pleural effusion, atelectasis, consolidation |
| D-dimer test, tests for = | Fibrogen (blood clotting) |
| What causes hyper-resonance on percussion? (4) | Asthma, COPD, pneumothorax, emphysema (PACE) |
| Edema unilateral vs bilateral (in feet) | DVT vs. CHF |
| Expiratory wheeze seen in = | Asthma |
Created by:
bglasman
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