You Order the Test! Flashcards
Pt with dyspnea and peripheral edema for a week and pulmonary crackles on auscultation
CXR
New pt with long standing, poorly treated HTN and signs of LVH on EKG
CXR, then echo is the test of choice
Pt with known CAD and previous MI, presents with fatigue, poor exercise tolerance, and exertional dyspnea
Echo
Pt with sudden onset of pleuritic chest pain and dyspnea
CTA of chest
Pt with sudden onset of chest pain and SOB
D-dimer
Pt with sudden onset of SOB and chest pain, widened mediastinum on CXR
CTA
Pt with mild exertional dyspnea and chest pain bit with low cardiovascular risk score
CACS
Diabetic pt with exertional dyspnea but no chest pain
Cardiac workup
Obese, 60 y/o male with chest pain radiating to his neck, diaphoresis, and dyspnea with minimal exertion; symptoms slowly resolve at rest
Angina; cardiac workup; then, potentially a stress test
Febrile patient with a new heart murmur
Echo
Pt with loud holosystolic murmur in the aortic area
Echo
renal failure patient with muffled heart tones, distended neck veins but clear lung fields
US or CXR
What differentiates a heart tamponade from CHF?
Tamponade has clear lung fields
Patient sustained blunt chest trauma in high speed MVA
CT with contrast
Pt with TIA and carotid bruit
CTA with contrast or carotid US
Patient with leg pain after walking more than 2 blocks on the level that resolves with rest
Ankle-brachial plexus
Pt who was hit in the calf with a lone drive baseball 3 days ago, now with increasing pain and swelling in the calf
US Doppler; not D-dimer (trauma)
Pt with asymptomatic left sided pulsatile mass in the abdomen
US; if symptoms, CTA
