week 4 module 12 heart hx Flashcards
key cardiovascular s/s (5)
chest pain dyspnea palpitations syncope edema
other symptoms assoc. with CV
fatigue cough cyanosis extremity pain meds substance abuse
general cardiac hx
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?
cardiac causes of chest pain
angina acute MI coronary insufficiency nonobstructive, nonspastic angina mitral valve prolapse
Aortic causes of chest pain
dissection of aorta
pleuropericardial causes of chest pain
pericarditis
pleuisy
pneumothorax
mediastinal emphysema
GI causes of chest pain
hiatus hernia reflux esophagitis esophageal rupture esophageal spasm cholecystitis peptic ulcer disease pancreatitis
pulmonary disease causes of chest pain
pulmonary HTN pneumonia pulmonary embolus bronchial hyperreactivity tension pneumothorax
musculoskeletal causes of chest pain
shoulder disorder
costochondroal disorder
xiphodynia
MI chest pain
10/10 pain crushing sitting on chest impending doom not relieved by anything
CAD chest pain
angina pectoris heavy tight, squeezing indigestion brought on by physical or emotional exertion Radiates: neck, jaw, arms relieved with nitro
GERD chest pain
clenched fist upper sternum with vertical motion
pericarditis pain
pleuritic in nature sharp/stabbing recent cold? flu-like/virus? worsen with deep breath happens with position change?
pulmonary emboli
pt reports
- sharp chest pain
- SOB or presyncopy w/ hypoTN and peripheral cyanosis
cardiac risk factors
family hx of heart dis. under 60 DM HTN dyslipidemia smoking male obesity
past medical hx
angina pectoris or MI valvular dis irregular rhythm stroke/TIA peripheral vascular disease HTN cholesterol issues thyroid
past surgical hx
bypass surgery stents valve repair pacemakers/defibrillators assist device: IABP, LVAD
medications
beta-blockers calcium channel blockers anticoag/platelets nitro birth control ASA
family hx
long QT marfan DM heart disease dyslipidemia HTN obesity congenital disease
social hx
smoking/tobacco ETOH: how many drinks, what type illicit drugs diet exercise living situation occupation ADL's
infant/children exam
tiring during feeding or playtime breathing changes cyanosis growth/wt gain favored knee-chest position mothers health during preg. headaches nosebleeds joint pain unexplained fevers physical and cognitive development
preg. exam
hx of cardiac disease or surgery
postpartum cardiomyopathy
dizzy/fainting with standing
indictions of heart disease during preg.
dyspnea progressive orthopnea PND HTN syncope with exertion chest pain with exertion or emotion
older adults exam
confusion and syncope palpitations meds ADL's orthostatic hypotension
