week 4 module 12 heart hx Flashcards
1
Q
key cardiovascular s/s (5)
A
chest pain dyspnea palpitations syncope edema
2
Q
other symptoms assoc. with CV
A
fatigue cough cyanosis extremity pain meds substance abuse
3
Q
general cardiac hx
A
any problems with heart? fatigue, fever, wt. loss/gain? angina or heart attack? heart surgery? HTN? heart murmur or rheumatic fever? phlebitis or swelling in legs? congenital heart disease? rhythm disorder? kawasaki?
4
Q
cardiac causes of chest pain
A
angina acute MI coronary insufficiency nonobstructive, nonspastic angina mitral valve prolapse
5
Q
Aortic causes of chest pain
A
dissection of aorta
6
Q
pleuropericardial causes of chest pain
A
pericarditis
pleuisy
pneumothorax
mediastinal emphysema
7
Q
GI causes of chest pain
A
hiatus hernia reflux esophagitis esophageal rupture esophageal spasm cholecystitis peptic ulcer disease pancreatitis
8
Q
pulmonary disease causes of chest pain
A
pulmonary HTN pneumonia pulmonary embolus bronchial hyperreactivity tension pneumothorax
9
Q
musculoskeletal causes of chest pain
A
shoulder disorder
costochondroal disorder
xiphodynia
10
Q
MI chest pain
A
10/10 pain crushing sitting on chest impending doom not relieved by anything
11
Q
CAD chest pain
A
angina pectoris heavy tight, squeezing indigestion brought on by physical or emotional exertion Radiates: neck, jaw, arms relieved with nitro
12
Q
GERD chest pain
A
clenched fist upper sternum with vertical motion
13
Q
pericarditis pain
A
pleuritic in nature sharp/stabbing recent cold? flu-like/virus? worsen with deep breath happens with position change?
14
Q
pulmonary emboli
A
pt reports
- sharp chest pain
- SOB or presyncopy w/ hypoTN and peripheral cyanosis
15
Q
cardiac risk factors
A
family hx of heart dis. under 60 DM HTN dyslipidemia smoking male obesity
