Common Sx/CC

Question 1

Cough DDX

Answer 1

Lung: COPD, asthma, pneumonia, bronchitis
Heart: endocarditis, pericarditis, aneurism, LCHF,
GI: Gerd
ENT: rhinitis, pharyngitis
pertussis

Question 2

Knee pain

Answer 2

Gout
Joint pain
erysipelas
trauma

Question 3

HA

Answer 3

head: trauma, migraine, intracranial aneurism, brain tumor
neuro: stroke
HEENT:
meningitis

Question 4

Chest pain

Answer 4

Heart: CVD, ischemia, MI, pericarditis, endocarditis, angina, dissecting aortic aneurism, malignancies, pneumothorax, pneumonia, pancreatitis, pleurisy, herpes zoster, cor pulmonale
GI: GERD
Musculoskeletal: dyspnea would accompany

Question 5

Abdominal pain

Answer 5

GI: appendicitis, Crohns, UC
Resp: pulmonary embolism
Cardio: MI, abdominal aortic aneurism (deep boring pain),
GU female: ectopic pregnancy, ovarian cyst
GU male: testicular torsion, epididymitis

Question 6

Heart palpitations

Answer 6

tachycardia, bradyarrhthmias, anxiety, anemia, fever, hypoglycemia, allergy, migraine, drugs, panic

Question 7

Leg pain

Answer 7

DVT
atherosclerosis
CAD

Question 8

Dyspnea and fatigue

Answer 8

Cardio: CHF, cor pulmonale, RCHF, cardiomyopathy, pericarditis, endocarditis
Neuro: stroke, MS
Resp: COPD, asthma
endocrine: hypothyroid
chronic fatigue syndrome
nutrient deficiency

Question 9

What special exam would you do if pt has LCHF?

Answer 9

valsalva would increase

squatting/inspiration would decrease

Question 10

What special test would you do if pt has RCHF?

Answer 10

valsalva would increase

Question 11

What two conditions would case internal jugular pulse to be above sternal angle?

Answer 11

RCHF

trucuspid stenosis

Question 12

dizziness, facial flushing, ha, fatigue, epistaxis, nervousness

Answer 12

hypertension

Question 13

normal pulse?

Answer 13

60-100

Question 14

normal BP

Answer 14

120/80

Question 15

normal respirations

Answer 15

14-20

Question 16

What position would bring out a pericardial friction rub?

Answer 16

have pt leaning forward

Question 17

DDX for pericarditis

Answer 17

MI, cardiac tamponade, constrictive pericarditis, pericardial effusion, costochondritis (if no friction rub)

Question 18

DDX for pericarditis

Answer 18

MI, cardiac tamponade, constrictive pericarditis, pericardial effusion, costochondritis (if no friction rub)

Question 19

When would you here S4?

Answer 19

MI, CAD

Question 20

What can help bring out S3 and S4 heart sounds?

Answer 20

LLD

Question 21

swollen leg, edema, pain, erythema, bluish vein discoloration. Dx and ddx?

Answer 21

DVT
pulmonary embolism
cellulitis
peripheral artery disease
lymphatic obstruction