Clinical reasoning, assessment and recording your findings

Question 1

Patient presents for eval of sharp, aching chest pain which increases with breathing. WHich anatomic area would you localize symptom to?

Answer 1

Musculoskeletal - chest pain may be due to costochondeitis or intercostal muscle cramp. May be worsened by motion of chest wall.
-Pleuritic chest pain is also a sharp chest pain which increases with a deep breath. This type of pain can occur with inflammation of pleura from pneumonia or other conditions and pulmonary embolus

Question 2

Patient present with SOB

Answer 2

• may be cardiac

- CHF likely to cause SOK

Question 3

Patient present with cough

Answer 3

• may be cardiac
• CHF can cause a cough
• CHF results in fluid buildup in lungs, which in turn can cause a cough that produce pink, frothy sputuem

Question 4

Meningitis

Answer 4

• head normicephalic and atruamatic
• fundi with blurred disc margins (consistent with papilledema)
• neck tender to palpation
• unable to perform rom

Question 5

Cholecystitis

Answer 5

Pain - orginates from gallbladder - is located in right upper quadrant
murphy’s sign - severity of pain with inspiration that is sufficient to stop further inhalation