Dyspnea def Flashcards
dyspnea/HF/
risk factors/
hx of
myocardial infarction,
poorly controlled hypertension,
dyspnea/HF/
ass sx/
fatigue,
dyspnea on exertion, orthopnea, PND,
edema
hint: PND paroxysmal nocturnal dyspnea
+ cagoule sur la tete, walks on
- nail: fatigue, j’en ai marre j’en ai marre
- nacho: face + air fulll of nacho and can’t breath=dyspnea on exertion,
- nuk=> tt le monde a terre & can’t breath =orthopnea,
- knife: a lot of them thrown at falling heart => look dead= asleep and then wake up PND,
- knob: fall on the head /edema
dyspnea/HF/
P Exam
JVD
PND,
S3 gallop,
Crackles on lung exam
Peripheral edema
dyspnea/HF/
important tests/
Echocardiogram
ECG
BNP
dyspnea/angina/
risk factors/
hx of CAD or
risk factors :
HTN, DM, hypercholesterolemia)
male sex,
tobacco use,
dyspnea/angina/
ass sx/
Exertional sx
dyspnea/angina/
P Exam
JVD
s3,
crackles on the lung
dyspnea/angina/
important tests/
ECG
Stress test
Coronary angiogram
dyspnea/Chronic Mitral Regurgitation/
ass sx/
holosystolic murmur at the apex in an asymptomatic pt or
during an evaluation of
fatigue
SOB,
dyspnea on exertion, orthopnea, and .
edema
dyspnea/Chronic Mitral Regurgitation/
P Exam
holosystolic murmur at the apex
dyspnea/Atrial Fibrillation/
cc/
abrupt onset of palpitations
dyspnea/Atrial Fibrillation/
ass sx/
SOB and
dyspnea on exertion
dyspnea/Atrial Fibrillation/
P Exam
irregularly irregular pulse
dyspnea/Pulmonary embolism/
risk factors/
PMhx: cancer, thrombophilia
PSgx:
immobilization,
postoperative or
postpartum states,
rx: estrogen therapy,
hint: Thrombophilia= hypercoagulability or a prothrombotic state
dyspnea/Pulmonary embolism/
ass sx/
dyspnea +
Pleuritic chest pain
dyspnea/Pulmonary embolism/
important tests/
CTA= CT angiography
D-dimer Duplex leg exam
lung:
Ventilation perfusion (V/Q) scan
Pulmonary angiography
dyspnea/Asthma/
ass sx/
hx of
wheezing
Chest tightness
Worsening cough with cold, exercise, pets, mold
hint: asthma ladie put the stuff on head can’t see and walks on
- wheezing: nail => large expirtation= wheezing
- Chest tightness= nacho, et s’arrete net! je vais mourrir: chest tightness
- Worsening cough = nuk and tries to cover it w cough, louder and loude but worsen w
alligator cold,
butterfly exercise,
sebastian crab pets,
dolphin mold
dyspnea/Asthma/
important tests/
Peak flow
Pulmonary function tests
Methacholine challenge
Response to tx