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19 Cards in this Set
- Front
- Back
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Chest Pain DDx
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1. ACS
2. Aortic Dissection 3. Pulmonary Embolism 4. Pneumothorax 5. Pericarditis / Tampanode 6. Esophageal Rupture - Vasospasm (Prinzmetal angina, cocaine) |
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ACS Presentation
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- Substernal chest pressure, tightness, or heaviness
- Radiation to jaw, shoulders, back, arms (esp. both arms) - +/- dyspnea, nausea, diaphoresis - Atypical symptoms in women, DM, elderly (e.g. dyspnea w/out chest pain) - S3, hypotension - Not reproducible by palpation, not positional, not sharp/stabbing (pericarditis) |
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Pericarditis
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- Sudden onset sharp / stabbing
- Radiates to trapezius - Worse w/ inspiration, lying flat - Alleviated by leaning forward - Friction rub in >85% - Diffuse ST elevation + PR depression (specific, not sens) |
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Friction Rub
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1. Atrial systole
2. Ventricular systole 3. Ventricular diastole |
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Aortic Dissection
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- Sharp, tearing CP
- Radiating to back / abdomen - Pulse differential - AI murmur - Widened mediastinum on CXR |
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Pectoriloquy
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1. Egophony (E-A transition)
2. Bronchophony (99) 3. |
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ROS Constitutional
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1. Fever
2. Chills 3. Sweats 4. Weight / appetite change 5. Malaise 6. Weakness 7. Dizziness |
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ROS Eyes
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1. Blurry vision
2. Diplopia 3. Photophobia 4. Discharge 5. Vision Loss 6. Pain |
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ROS ENT
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1. Hearing loss
2. Tinnitus 3. Sore Throat 4. Sinus Drainage 5. Dental pain, tooth loss, dentures 6. Nosebleeds |
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ROS Respiratory
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1. SOB
2. Cough 3. Sputum Production 4. Pleuritic CP 5. Hemoptysis |
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ROS CV
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1. Orthopnea
2. Nocturnal dyspnea 3. DOE 4. LE edema 5. CP 6. Syncope 7. Palpitations 8. Venous insufficiency 9. claudication |
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ROS GI
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1. n/v/d
2. Regurgitation, heartburn 3. Odynophagia 4. Dysphagia 5. Abd pain 6. Constipation 7. Abd swelling 8. Hematemesis, melena, BRBPR 9. Pus / mucus w/ stools 10. Tenesmus 11. Incontinence |
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ROS GU
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1. Urgency / frequency / incontinence / hesitency
2. dysuria 3. hematuria 4. Post-void dribbling 5. Penile d/c, impotence, testicular masses 6. Vaginal d/c, dyspareunia, bleeding, menstrual hx |
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ROS Endo
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1. Polydipsia / polyuria
2. Heat / cold intolerance 3. Tremor 4. Menstrual irregularity 5. Changes in hair / skin / nails 6. Loss of libido 7. Abnormal body hair |
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ROS Skin
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1. Rashes
2. Itching 3. Pressure sores |
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ROS MSK
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1. Arthralgias
2. Myalgias 3. Muscle weakness 4. h/o fracture 5. Kyphosis |
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ROS Heme
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1. Bruising / excessive bleeding
2. h/o clots |
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ROS Neuro
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1. HA
2. Focal weakness 3. Difficulty walking / talking / swallowing 4. Memory loss / comprehension deficits 5. Vision loss 6. Seizure 7. Tremor 8. Incoordination, falls 9. Paresthesias 10. Vertigo |
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ROS Psych
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1. Sleep
2. Interest 3. Guilt 4. Energy 5. Concentration 6. Appetite 7. Psychomotor 8. Suicide - Anxiety, panic attacks, hallucinations (aud/vis), delusions |
