symp

Question 1

back pain

Answer 1

inflamm AAA, thoracic aorta aneurysm

Question 2

Sudden onset, excruciating pain beginning in anterior chest that radiates to between the scapula, moving downward as it progresses

Answer 2

aortic dissection

Question 3

Cervical LN enlargement

Answer 3

Kawasaki Disease (mucocutaneous LN synd)

Question 4

non-exertional angina-like pain and/or dyspnea

Answer 4

mitral valve prolapse, hypertrophic cardiomyopathy

Question 5

dysphagia

Answer 5

thoracic aorta aneurysm

Question 6

cough

Answer 6

thoracic aorta aneurysm

Question 7

Cold, Clammy, Diaphoretic

Answer 7

MI

Question 8

weak pulse

Answer 8

MI

Question 9

CP unrelated to physical activity, BP, stress, aths

Answer 9

Pritzmental Angina

Question 10

CP not allieviated by nitrates

Answer 10

unstable angina

Question 11

fever, fatigue, wt loss

Answer 11

giant cell (temporal) arteritis

Question 12

ocular symp: diplopia to complete vision loss

Answer 12

giant cell (temporal) arteritis

Question 13

episodic symp of YA

Answer 13

Polyarteritis Nodosa (PAN)

Question 14

Edema of the hands and feet.

Answer 14

Kawasaki Disease (mucocutaneous LN synd)

Question 15

peripheral neuritis that commonly affect the motor nn.

Answer 15

Polyarteritis Nodosa (PAN)

Question 16

Leg pain induced by exercise that is relieved on rest

Answer 16

Thromboangiitis Obliterans (Buerger Disease)
(intermittent claudication).

Question 17

diffuse muscle pain

Answer 17

Polyarteritis Nodosa (PAN)

Question 18

purpura

Answer 18

• Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis)
• Churg-strauss Syndrome (allergic granulomatosis and angiitis)

Question 19

Orthopnea

Answer 19

L-sided HF

= difficulty breathing upon laying down.

Question 20

Hemoptysis

Answer 20

• Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis)
• Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu dz)

Question 21

leg edema, distention of lower abdominal superficial collateral veins
-maybe proteinuria

Answer 21

Inferior Vena Cava Syndrome

-proteinuria if if renal veins are involved

Question 22

Skin ulcers that can develop into gangrene

Answer 22

Thromboangiitis Obliterans (Buerger Disease)

Question 23

n/v

Answer 23

MI

involvement of vagal stim

Question 24

fever, wt loss, fatigue

Answer 24

infectious endocarditis

Question 25

flank pain

Answer 25

unstable angina

Question 26

ocular and neuro disturbances

Answer 26

Takayasu Arteritis (pulseless disease)

Question 27

+30min Substernal CP: crushing, stabbing, squeezing that radiates to the Jaw or down the arm

Answer 27

MI

Question 28

Desquamative rash.

Answer 28

Kawasaki Disease (mucocutaneous LN synd)

Question 29

irritability, loss of attention span, and restlessness that can lead to stupor and coma.

Answer 29

hypoxic encephalopathy from L-sided HF or from back up from R sided HF

Question 30

Erythema of the palms and soles.

Answer 30

Kawasaki Disease (mucocutaneous LN synd)

Question 31

bloody stools

Answer 31

- Polyarteritis Nodosa (PAN) - Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis) - Churg-strauss Syndrome (allergic granulomatosis and angiitis) - Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu dz) (or other GI bleed)

Question 32

flushing, diarrhea, dermatitis, and bronchoconstriction

Answer 32

carcinoid <3 dis

Question 33

rapidly accelerating HTN abdominal pain

Answer 33

``` Polyarteritis Nodosa (PAN) -from renal a. involvement, ```

Question 34

Instep foot pain induced by exercise

Answer 34

``` Thromboangiitis Obliterans (Buerger Disease) (instep claudication). ```

Question 35

serious epistaxis (nosebleed)

Answer 35

Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu dz)

Question 36

angina, syncope, CHF

Answer 36

aortic stenosis (mostly from LVH --> ischemia)

Question 37

excruciating pain even at rest

Answer 37

``` Thromboangiitis Obliterans (Buerger Disease) -Vascular insufficiency can lead to this via neural involvement. ```

Question 38

burning, squeezing sensation, but not really painful CP

Answer 38

stable angina

Question 39

Cyanosis and dilation of veins of head, neck and arms | -maybe resp distress

Answer 39

Superior Vena Cava Syndrome | -resp distress if pulm v's are compressed

Question 40

Exercise or emotional stress chest pain

Answer 40

stable angina

Question 41

Facial pain or intense HA along superficial temporal a

Answer 41

giant cell (temporal) arteritis

Question 42

Conjunctival + oral erythema and blistering

Answer 42

Kawasaki Disease (mucocutaneous LN synd)

Question 43

Dyspnea, easily fatigable, decreased EF, and poor exertional capacity

Answer 43

dilated cardiomyopathy

Question 44

Dyspnea, chest pain, fatigue, fever

Answer 44

myocarditis

Question 45

CP Alleviated with rest or nitrates and CCBs

Answer 45

stable angina, Pritzmental Angina

Question 46

hematuria, proteinuria,

Answer 46

``` Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis) -hematuria: Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu dz) ```

Question 47

skin lesions after starting new drug

Answer 47

drug hypersensitivity vasculitis

Question 48

very painful CP episodes that increase in freq and duration and can last more than 20 min, and eventually at rest too

Answer 48

unstable angina

Question 49

Dyspnea

Answer 49

L-sided HF, MI (pulmonary congestion./edema form impaired contractility) = difficulty breathing, especially during activity.

Question 50

dyspnea

Answer 50

thoracic aorta aneurysm

Question 51

Paroxysmal Nocturnal Dyspnea

Answer 51

L-sided HF | = severe Dyspnea at night (feel suffocation