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Assessment 2019 > Lecture 2 > Flashcards

Lecture 2 Flashcards

1
Q

History inquiry

A
  1. Chest pain
  2. Dysnea
  3. Palpitations
  4. Fatigue
  5. Syncope
  6. Edema
  7. Hemoptysis
  8. Cyanosis
  9. Past personal/family cardiac history
  10. Personal habits (cardiac risk factors)
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2
Q

Asking about chest pain

A
  1. When does pain occur
  2. When was most recent episode
  3. Explain discomfort - when, frequency, how does it stop
  4. Does discomfort move anywhere?
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3
Q

Stable angina

A

Basically a heart attack — I.e. shoveling

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4
Q

Chest Pain that occurs slowly, worse over a few minutes before going away. Occurs with exercise.

A

Stable angina

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5
Q

Which type of angina is worse?

A

Unstable

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6
Q

Chest pain that is sudden & gets worse over time

A

Unstable angina

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7
Q

Chest pain that lasts longer than 15-20 minutes , no cause

A

Unstable angina

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8
Q

Does unstable angina respond well to nitroglycerin?

A

No

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9
Q

Chest pain associated with SOB, drop in BP

A

Unstable angina

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10
Q

Worst type of ischemic pain

A

Myocardial infarction

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11
Q

Prinzmetal’s angina

A

Temporary coronary artery spasm

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12
Q

Symptoms of Variant

A

Prinzmetals angina - between 12-8am, not associated with exercise

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13
Q

“Swish” sound

A

Mitral regurgitation

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14
Q

Mitral regurgitation

A

Mitral valve prolapse

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15
Q

Mitral valve prolapse

A

One/both MV leaflets prolapse back into atria during systole

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16
Q

When does mitral valve prolapse occur?

A

Systole

17
Q

Inflammation of the pericardium

A

Pericarditis

18
Q

Type of chest pain in pericarditis

A

Precordial; pleuritic or crushing in the retrosternal area

19
Q

Dissecting aneurysm

A

Tearing of the arterial intima

20
Q

Characteristics of dissecting aneurysm

A

Sharp pain radiating into back/neck; tearing quality

21
Q

Symptoms of PE

A

Dyspnea

22
Q

Symptom of pulmonary edema

A

Anxious

23
Q

Pulmonary edema is a side effect of?

A

CHF, pHTN

24
Q

Pleurisy

A

Inflammation of the pleura

25
Q

Pain characteristics of pleurisy

A

Worse with breathing, pain goes away when holding breath

26
Q

Tracheal deviation

A

Hemothorax, pneumothorax

Assessment 2019 (9 decks)

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