CV admitting

Question 1

Clinical presentations not to miss

Answer 1

P4A3 
PE
Pneumothorax
Perforated esophagus
Pericarditis 
Acute MI
Aortic Aneurysm 
Acute Chest Syndrome

Question 2

Typical angina

Answer 2

substernal chest discomfort
provoked by exertion or emotion
relieved by rest or NTGT

Question 3

atypical angina

Answer 3

only 2 of the following:
substernal chest discomfort
provoked by exertion or emotion
relieved by rest or NTGT

Question 4

Systemic immune response syndrome

Answer 4

if 2 of the 4 are elevated, then the pt is SICKER than they appear to be:

Pulse> 90 R>20 Temp>38.3 WBCs
Likely need to be admitted to the ICU

Question 5

unstable angina

Answer 5

if specific troponin goes down and EKG DOES NOT show ST elevation

Question 6

GRACE score

Answer 6

stratifies risk based upon things like age, HR, BP , creatinine, etc
>140= high risk, which means that he should be sent to the cath lab

Question 7

monitoring a dilated cardiomyopathy patient

Answer 7

Urine for PU, BUN/Cr, electrolytes, glucose daily 
T4 and TSH
serrum ferritin 
EKG in AM
cardio consult 
lymphatic pump

Question 8

Posterior leukoencephalopathy

Answer 8

confusion brought on by hypertensive emergency

Question 9

Acute Chest Syndrome

Answer 9

aka SCA pain disease or SS Fat emboli syndrome

a pulmonary illness defined by a new infiltrate on CXR w/ at least 1 clinical sign or symptom (chest pain, cough, wheezing, tachypnea, fever)

in this case d/t
Exs sickling in the bones, and blocks the vessels in the bones, marrow starts to break down, sending fat emboli everywhere causing the PE etc