Health History

Question 1

Pt presents with recent chest pain:

Q: What findings might be important to look for as you observe this patient?

Answer 1

1. Level of distress
2. Labored breathing
3. Sking color: Central and Peripheral Cyanosis
4. Respiratory rate

Cyanosis: a bluish discoloration of the skin and mucous membranes due to excessive concentration of reduced hemoglobin in the blood

Peripheral Cyanosis: A bluish discoloration of Hands and Feet

Question 2

Q: What possible causes of chest pain are you considering?

Answer 2

1. Panic attack
2. Angina
3. GERD (gastroesophegeal reflux disease)
4. Musculoskeletal chest wall pain

Question 3

(patient presents with recent onset of chest pain)

Q. What cardiovascular risk factors do you need to consider in this patient?

• and*
• Which one has the highest risk of CAD ?*

(Coronary Artery Disease)

Answer 3

THE RISK FACTORS ARE :

• Family history of coronary artery disease*
• Hyperlipedemia, hepertansion, smoking, diabetes*
• For Women: preeclampsia, collagen vascular disease*

Highest Risk: Family history conveys highest risk

Question 4

Preeclampsia

define:

Answer 4

a condition in pregnancy characterized by high blood pressure, sometimes with fluid retention and proteinuria.

Question 5

Hyperlipidemia

Define:

Answer 5

Hyperlipidemia

• is abnormally elevated levels of any or all lipids or lipoproteins in the blood.*
• Hyperlipidemia is an umbrella term that refers to acquired or genetic disorders that result in high levels of lipids (fats, cholesterol, or triglycerides) circulating in the blood.*
• This disease is usually chronic and requires ongoing medication to control blood lipid levels*