2-2: Do Not Want to Miss List 2

Question 1

Percentage of LBP is AAA?

Answer 1

• ~2%

- Risk goes up w/ age

Question 2

Risk factors for AAA

Answer 2

• Age (older)
• Male
• Hx of smoking
• Hx of hypercholesterol and coronary heart disease
• Family hx of AAA

Question 3

Clinical manifestations of AAA

Answer 3

• Usually asymptomatic, may produce pain in lumbar, hip, groin, buttock
• Satiety, weight loss, nausea
• Palpable abdominal mass

Question 4

How to palpate for AAA

Answer 4

Left lateral palpation

Question 5

AAA Vessel Dissection LBP description

Answer 5

• Hot
• Searing
• Ripping
• Tearing
• Medical emergency, requires immediate surgical intervention

Question 6

DVT Complications

Answer 6

• Pulmonary embolism
• Postphlebitic syndrome
• Chronic thromboembolic pulmonary hypertension

Question 7

Risk Factors for DVT

Answer 7

• Previous hx of DVT
• Hx of cancer
• Hx of congestive heart failure
• Hx of systemic lupus erythematosus
• Receiving chemo
• Major surgery
• Major trauma
• Immobility
• Limb paralysis
• Women during pregnancy
• Women taking oral contraceptives, hormone replacement therapy
• Age >60 yrs

Question 8

Clinical manifestations of DVT

Answer 8

• Ache, tightness, tenderness
• General edema
• Pitting edema
• Prominent superficial venous plexus
• Increased local skin temperature

Question 9

Clinical Decision Rule for DVT

Answer 9

• 10 items
• -2 to 0: low probability
• 1-2: moderate probability
• > /= 3: high probability

Question 10

Risk factors for pulmonary embolism

Answer 10

• Previous hx of PE
• Hx of DVT
• Immobility
• Hx of abdominal, pelvic surgery
• Total hip, knee replacement
• Late-stage pregnancy
• Lower limb fracture
• Malignancy of pelvis or abdomen

Question 11

Clinical manifestations for PE

Answer 11

• Dyspnea
• Tachypnea
• Pleuritic chest pain, intensified w/ deep respiration and cough
• Persistent cough
• Apprehension, anxiety
• Tachycardia
• Palpitations

Question 12

Modifiable Risk factors for atypical myocardial infarction

Answer 12

• Smoking
• High cholesterol (LDL and total serum)
• Hypertension
• Diabetes
• Obesity
• Sedentary lifestyle
• Excessive alcohol consumption

Question 13

Nonmodifiable Risk factors for atypical myocardial infarction

Answer 13

• Age (>55 for women, >45 for men)
• Family hx
• Ethnicity (highest in African American)

Question 14

Clinical manifestations associated w/ myocardial infarction in women

Answer 14

• 50% expected chest pain (w/ or w/o left UE pain)
• Shortness of breath
• Fatigue
• Sleep disturbance
• Nausea (w/ or w/o vomiting
• Palpitations
• Dizziness
• Diaphoresis
• Anxiety