Differential Diagnosis

Question 1

Substernal/back/neck/jaw pain, extreme/sharp pain felt at base of neck, acute MI, acute chest pains, ischemia of arms/legs

Answer 1

Aneurysm

Question 2

Temporary pain, discomfort that starts suddenly in chest and radiates, squeezing, burning, heartburn, indigestion, choking

Answer 2

Angina Pectoris

Question 3

Dyspnea on exertion, fatigue, angina, palpitations, orthopnea, systolic ejection murmurs radiating to neck

Answer 3

Aortic Stenosis

Question 4

Pain in the legs, often the calves (though not always); pain is relieved by rest

Answer 4

Claudication

Question 5

Dyspnea, orthopnea, productive spasmodic cough, pulmonary edema, cerebral hypoxia, fatigue, muscular weakness, renal changes

Answer 5

CHF Left Side

Question 6

Progressive failure, dependent edema, jugular vein distention, abdominal pain/distention, weight gain, right-upper quad pain, cardiac cirrhosis, anorexia, nausea

Answer 6

CHF Right Side

Question 7

Chronic productive cough, wheezing, easy fatigability, sudden/severe central chest pain, rapid pulse, sweating, hypotension, distended neck veins, clubbing

Answer 7

Cor pulmonale (pulmonary heart disease)

Question 8

Regular angina, both stable and unstable

Answer 8

Coronary Artery Disease

Question 9

Pain, swelling, redness, warmth, engorged superficial veins; symptoms are often not enough to diagnose a patient since many other disorders share similar symptoms

Answer 9

Deep Vein Thrombosis

Question 10

Asymptomatic in the early stages; headache, vertigo, flushed face, blurred vision, sleep disordered breathing

Answer 10

HTN

Question 11

Most people are asymptomatic, profound fatigue (not from exercise/stress), palpitations, dyspnea, joint hypermobility, mild scoliosis, tremors, swelling of the extremities, low back pain, dizziness, difficulty in concentrating

Answer 11

Mitral Valve Prolapse

Question 12

Atrial fibrillation, dyspnea, orthopnea, fatigue, reduced cardiac output, Distinctive heart murmur and specific heart sound, swelling especially in the legs, ankles and feet, bulging neck veins, fine crackles heard in the lungs, flushing of the cheek

Answer 12

Mitral Valve Stenosis

Question 13

Pain is constant, lasting 30 minutes up to hours, crushing/squeezing chest pain, profuse perspiration, skin cool and clammy, nausea/vomiting, pain spreads from chest to neck/jaw/shoulders/arms, fast/irregular heart beat

Answer 13

Myocardial Infraction (Heart Attack)

Question 14

Dizziness, blurring/loss of vision, fainting, unexpected/unexplained falls

Answer 14

Orthostatic Hypotension

Question 15

Pleuritic chest pains, substernal pains, fever, joint pain, dyspnea, difficulty swallowing

Answer 15

Pericarditis

Question 16

Mild PAD can be asymptomatic; claudication, sores/wounds that heal slowly or never, changes in color and temp, diminished hair/nail growth on affected limbs

Answer 16

Peripheral Artery Disease