Pales CIS Flashcards
a differential for chest pain, SOB
CHF, MI, pericarditis with cardiac tamponade, costochondritis, aortic dissection, unstable angina, panic attack, pneumonia
what does displaced to 7th intercostal space at an axillary line tell us?
left ventricuar enlargement
edema of 4+
4+ means water weeping out
does lack of edema rule out CHF?
no; depends on severity and side
right side more likely to cause edema
sillouhette sign on x-ray
infiltrate close to something, like the heart or diaphragm, so that you can’t see the outline of it
if ejection fraction is low, it means…
systolic failure
some life-saving medications for CHF/ MI
aldosterone inhibitor, beta blocker, ace inhibitor
diff’l diagnosis for dyspnea
right sided CHF, PE, anxiety,
diff’l dx for lower extremities swelling
venous insufficiency
right-sided heart failure
DVT
cellulitis
diff’l dx for cough
upper/ lower resp inf ACE inhibitor side effect Post Nasal Drip COPD cancer etc.
diff’l dx for abdominal distention
cirrhosis, right-sided heart failure, obesity, cancer, IBS/ gas
precordial heave means?
right ventricular enlargement/ dilational hypertrophy
significance of PMI being in the 5th ICS on a mid-clavicular line?
probably doesn’t have left ventricular enlargement
S4 sound means
due to atrial kick with non-compliant ventricle
shifting dullness means
ascites
