Clinical Week 1 Flashcards
Why do we take a patient history? 1. 2. Evaluate a patient’s risk factors 3. Develop differential
- Characterize the presenting concern
Orthopnea?
Trouble breathing while laying flat -sit up 90 degrees
Paroxysmal Nocturnal Dyspnea?
Sudden dyspnea and orthopnea that awakens the pt. from sleep, sit up, stand up, get some air. Possible wheezing and coughing, may recur at same time subsequent nights
Pt presents with chest pain. Which 3 systems should be included in physical exam?
- Cardio 2. Abdominal 3. MSK
Why do we take a patient history? 1. Characterize the presenting concern 2. 3. Develop differential
Evaluate a patient’s risk factors
Why do we take a patient history? 1. Characterize the presenting concern 2. Evaluate a patient’s risk factors 3.
Develop differential
What systems should be covered in ROS for palpitations?
Cardiac Endocrine Psychiatric Neurologic
What are 4 common causes of syncope?
Vasovagal Orthostatic hypotension Arrhythmias Unknown
Anascara
Edema involving all aspects of the body: upper and lower extremities and the face
Acites
Collection of fluid in the peritoneal cavity
Lipedema
Edema caused by fluid retained in the interstitial space by lipids in the dermis
Lymphedema?
Edema caused by obstruction of lymphatic drainage of the tissues
Myxedema?
Edema resulting from hypothyroidism
Pretibial myxedema?
Not technically edema, the swelling on the anterior shins is due to coalescing of subcutaneous plaques due to Graves disease antibodies infiltrating dermal tissue.
Organs associated with edema?
Heart, kidney, liver, thyroid
Most common causes of edema?
Varicose veins or venous stasis, CHF, Lipedema, Cirrhosis
