Advanced Dive Medicine DDX

Question 1

TYPE I SX

Answer 1

Pain in joints, Marbleing, Swelling lymphnodes

Question 2

TYPE II SX

Answer 2

Neuro, Inner Ear (staggers), Cardiopulmonary (Chokes)

Question 3

Chest Pain

Answer 3

Spinal DCS, Pulmonary DCS/O2 tox,POIS, trauma, heart attack, Thoracic squeeze, trauma, anxiety.

Question 4

Chokes

Answer 4

Large amount of Deco omitted, Pain gets progressively worse, burning, distress, cough, dypsnea

Question 5

Spinal cord DCS

Answer 5

Pain radiates causing a girdle like presentation, Dull or lanceing, Type II onset

Question 6

Pulmonary 02 toxicity

Answer 6

02 greater than .5 ata, elevated PP02, gradual burning, cough, dypsnea

Question 7

Pneumo tension

Answer 7

Pain lateral wax/wane on inspiration, Guarding, Static pain chest lack of sound on affected side, neuro to rule out age

Question 8

Mediastinal Emphysema

Answer 8

Mild to moderate pain under breast bone, Dull tight, Radiate to shoulder or back, increase on inspiration coughing inhale, Rule out age pneumo.

Question 9

Heart attack

Answer 9

sub sternal pain, acute, fitness/age

Question 10

Trauma

Answer 10

history of accident

Question 11

Thoracic squeeze

Answer 11

Non retunr failure, bloody sputum, difficulty breathing