DDx KP and Qs

Question 1

Chest Pain CVS DDx Qs

Answer 1

Myocardial Infarction
- Symptoms - SOB, Sweating, Nausea, Racing of the heart, Black Tarry Stools
- CVS Rf Qs
Pericarditis - Fever/Flu like Symptoms, Better in leaning forward, Tiredness
Heart Failure - Leg swelling, No. of Pillows
Aortic Stenosis - LOC or Dizziness
AAA, Myocarditis (Already Asked)

Question 2

Chest Pain Respi DDx Qs

Answer 2

Pulmonary Embolism - Recent Long Travel or Surgery?, Swelling and pain in the legs?, Hx of Clotting Dx
Pneumothorax - Trauma
Pneumonia - Cough, Fever or Chills, Noisy Breathing, SOB
Lung CA - LOW, LOA, L&B’s, Hemoptysis

Question 3

Chest pain GI DDx Qs

Answer 3

Screening Test
- General Sx - Abdominal Pain? Vomiting?
- GORD - Acidic taste in your mouth?
- PUD - Related to eating?
- Pain worse on lying down? (Pancreatitis)
(if +)
- Red Flags - Black Tarry Stools, Pain Wake you up at night?
- RF GORD - Coffee, Spicy, Sour Foods, NSAIDS, Alcohol, Smoking

Question 4

Chest Pain MSK+ Skin, Psychogenic Qs

Answer 4

MSK + Skin
- Rash (Shingles)
- Pain worse on pressing the chest or movement?
- Pain worse on movement?
Psychogenic
- Stressors (Mini HEADS)

Question 5

CVS RF Qs

Answer 5

Smoking, Alcohol,
DM, HTN, Lipids
Overweight
Excercise and Diet
FHx - CVD

Question 6

Shingles KP

Answer 6

Occupation
Contact with pregnant and children
Investigate if Immunocompromised - Malignancy, DM, HIV, Steroid

Question 7

Pulmonary Embolism RF

Answer 7

COSTVMPF
- Contraception
- Obesity
- Surgery
- Travel
- Varicose Veins
- Malignancy
- Pregnancy
- Family Hx

Question 8

PTSD

Answer 8

Nightmares?
Avoiding places?

Question 9

Panic Disorder KP Qs

Answer 9

During attack - Fear of Dying?
Fear about having another attack and its consiquence?
Behavioral Changes because of this worry

Question 10

GAD Qs

Answer 10

Generally an anxious person?
Hard to control the anxiety

Question 11

HASBLED Score

Answer 11

(Bleeding Risk)
Hypertension
Abnormal Liver and Renal Function
Stroke
Bleeding
Labile INR
Elderly
Drugs or Alcohol

Question 12

CHADVASC Score

Answer 12

(Clotting Risk)
Chronic Heart Failure
Hypertension
Age >75 y/o
Diabetes
Stroke, Embolism
Vascular Disease

Question 13

Syncope DDx Qs

Answer 13

Statement
CVS - Chest pain, SOB, Racing of the heart
Neuro - BOV, Weakness/Numbness, Headaches
GI - N/V, Abd Pain
Others - Travel, Weather Preference, Jaundice
Psychogenic - Hyperventilation, Emotion, Mini HEADS, Panic Attack Qs

Question 14

Cardiac Tamponade
Becks Triad

Answer 14

• Muffled Heart Sounds
• Inc. JVP
• Unstable VS (Hypotension)

Question 15

RF for Falls Qs

Answer 15

MSK Qs - W/N of the Legs, Joint Pains, Balance Problems
RF Falls Qs
- Vision or Hearing Loss
- Home Environment - Lose Rugs, Stairs, Good Lighting
- Urinary Problems - Frequency and Urgency, Nocturia, UTI Qs
- Foot Qs - Deformity Foot, Long Nails