Midterm chest pain and anemia Flashcards
In MI, Female patients and Diabetics can present with atypical symptoms.
Name two symptoms that you might see in atypical MI presentation.
Epigastric pain, Back pain, Shoulder or Jaw pain, anxiousness, sweaty.
One of two definitive and initial treatments for MI is PCI.
What does PCI stand for and what two procedures are involved with PCI?
What are some other treatments for MI?
Percutaneous Intervention = Balloon Angioplasty Stent placement
Other Tx:
- thrombolytics
- Coronary Artery Bipass Graph (CABG)
Name three contraindications of Thrombolytic therapy?
Recent surgery, GI bleed, Trauma, Suspected Aortic Dissection, uncontrolled HTN, Septic Emboli.
What is Class of drugs would you give a patient with PE?
Anticoagulants
In Dislipidemia; how would Chocolate, Red wine, and or exercise effect the lipid panel numbers?
It would increase HDL’s
T or F, These Lipid panel numbers are within normal range:
LDL………………137
HDL……………….62
TG………………..151
F - Its high
Pillow Orthopnia, Paroxysmal Nocternal Dypsnea, are symptoms of
a) Right heart failure,
b) Left heart failure
Left Heart failure
There are 5 red flags for chest pain. What are some key signs or symptoms that would rule in or out each DX
- MI:
- Pneumothorax:
- Pulmonary Embolism:
- Pericarditis:
- Aortic Dissection:
MI- Pain lasting more than half hour that is unrelieved by rest and nitro
Pnx- Pleuritic chest pain (more pain when breathing/relieved by holding breath or pressing on chest), decreased lung sounds on affected side, SOB, tachypnea
Hyper resonance to percussion.
PE- Pain on inspiration Pleuritic chest pain), cyanosis, tachypneic, tachycardia, diaphoretic, SOB.
Pericarditis- Pain worse when laying down, better when leaning forward, sometimes able to ascultate a friction rub.
Aortic Dissection- Severe ripping or tearing pain, pain may radiate to the back, with maximum pain in the beginning while its dissecting, then gradually less pain, auscultation of a Bruit, orthostatic hypotension.
Name two of the three symptoms of Aortic Stenosis Triad?
CP
Heart Failure
syncope
What is Homans sign and what does it indicate?
What procedure would definitively diagnosis DVT?
Homan’s Sign is when there is pain in the calf when the foot is in dorsal flexion. It indicates DVT.
Definitive Dx: Doppler Ultrasound, D-Dimer Test, or Wells Score
Rheumatic Heart disease is caused by what type of infection?
Strep
Name 3 of the 5 types of Syncope
1- Vasovagal 2- Situational/micteration syncope 3- Postural/Orthostatic 4- Aortic stenosis 5- Cardiac Hypertrophy/ Cardiomyopathy
What will a VQ scan reveal?
V-ventilation
Q-perfusion
reveals a Pulmonary Embolism.
Name the three routes of Anemia?
hypohematopoisis
Hyperhemolysis
Acute Blood loss
What is Intrinsic Factor’s role in anemia?
Gastric IF is made in the pariatial cells of the stomach
it binds with B-12 in the terminal illium and pulls B12 into the blood stream.
You need B12 to make new RBCs, nerve cells, and DNA. Seen in Pernicious anemia (Auto-immune destroys IF causing Macrocytic anemia) & Atropic Anemia (Stomach doesnt make enough IF)
