Caridopulmonary Evaluation: Intro To Chest Radiographs Flashcards

Question

What is the point of endurance testing?

Answer 1

Give you quantitative measures for endurance goals, can use as a generic cardiopulmonary screening tool. Can be used to determine a patients endurance for a specific task

Answer 2

Epigastric pain SOB Fatigue Dizziness Palpations

Answer 3

Pain or pressure in sub-ser al area, shoulder, UE, jaw, epigastric region Pain or pressure with associated malaise, fever, chills, or change in heart sounds Edema and/or rapid weight gain Abnormal vital sign response to exercise Moderate to extreme SOB with minimal exertion

Answer 4

Persistent cough: productive or non-productive Sudden onset of SOB, or no known etiology of SOB, but has persisted for several days Thoracic cage pain SOB, with or without thoracic pain, but also has malaise, fever, cough Chest or back pain that is deep, nagging, and wakes the patient up at night

Answer 5

Location of pain- general, localized, pinpoint Changes with movement, coughing, deep breathing, valsalva maneuver Constant/intermittent Response to activity Radiation to other areas

Answer 6

Usually burning, pressure, cramping, and comes on with exertion and eases with rest

Answer 7

A heart attack

Answer 8

Usually increased with deep breathing, coughing, and decreased with leaning forward or sometimes side lying on that side that had pain

Answer 9

Pain is usually very deep Nagging or aching pain described Does not change much with motion SOB with all activity/exertion Wakes pt up at night May or may not have cough

Answer 10

Constant/intermittent Radiation to other areas Changes with movement, valsalva maneuver Neurologic involvement Response to activity

Answer 11

Localized- typically scapular area either centrally or equal but not usually unilateral or uneven. Tends to be worse with deep breathing, coughing, trunk rotation and decreases with flex

Answer 12

Radiation from spine Constant/intermittent Response to activity and then to rest Possible neuropathies Sudden onset or more chronic DVT- no Homan’s sign- not reliable (use clinical prediction rule)

Answer 13

Burning or cramping Tends to be in the muscle belly, not a dermatomal pattern Pain will typically come on with exertion and ease with rest

Answer 14

Pain is usually sudden onset or over 1-2 days Usually groin, popliteal fossa, or calf Pain is “nagging” not neurologic description

Answer 15

Sudden onset or more chronic Location of pain- general, localized, pinpoint Constant/ intermittent Neurologic involvement Response to ROM and activity

Answer 16

Tends to be post, bilateral scapula area Usually if shoulder pain they will have chest and/or back pain too If you see ipsilateral shoulder pain from a pulmonary condition, they’ll also have chest pain over area of lung issue

Answer 17

Chest pain Increased cough or temperature Increased dyspnea at rest Altered mental status Increasing weakness or fatigue

Answer 18

Patient has anginal symptoms not relieved by nitrates (as prescribed) Synocpal episode with irregular pulse Recent weight gain with LE edema and dyspnea New onset calf pain (DVT) Sudden weakness and/or increased fatigue Increase in HR or BP above acceptable ranges, without return to baseline after rest Frequent asthma attacks or decreased effectiveness of inhalers New onset of a feeling of palpations and yo palpate irregular pulse rate Shoulder or spine pain that increases with coughing or deep breathing Rapid HR with decreasing BP

Answer 19

A-P Lateral view

Answer 20

Dark gray or black

Answer 21

Light gray, darker white

Answer 22

Clavicle height, rib positioning, costal cartilage or rib-eternal junction Diaphragm position Amount of air Look for lines, EKG wire etc

Answer 23

Nice dome shape Costophrenic angle Right side should be about 1cm higher than left

Answer 24

Where the diaphragm meets the chest wall at the lateral edge