Name the condition... Flashcards
(32 cards)
1
Q
a patient has….
- a syncopal episode with onset
- sudden onset of lower back/umbilical pain
- ripping pain
- nausea/vomiting
- hip/groin/thigh pain
- mass on abdomen
- urge to have a BM
- grey turner/cullens
- hypotension
- abd pain
- mottled skin
A
AAA!
2
Q
a patient has….
- redness/tenderness
- calf pain/warmth
- leg fatigue
- visible surface veins
- dehydrated
- pregnant?
- coagulation issues
- recent period of immobilization
A
Deep vein thrombosis!
3
Q
a patient has….
- fatigue/weakness in legs
- cramping after exercise
- numbness in legs
- weak/absent pedal pulses
- shiny/hairless skin
- change in colour
- coldness in leg/foot
6 p’s of arterial ischemia
A
peripheral vascular disease!
4
Q
hypertensive urgency vs emergency
A
urgency is anything over/equal to 180/110
emergency is when an organ is at risk of dysfunction
5
Q
a patient has…
- headache
- dizzy
- weak
- epistaxis
- blurred vision
A
hypertension!
6
Q
a patient has….
- low grade fever
- heart murmurs
- subungual hemorrhage
- tach HR when at rest
- fatigue
- PE
- fever/chills/drowsiness
A
endocarditis!
7
Q
a patient has….
- dyspnea
- myalgia (muscle ache)
- headache
- fever
- tach HR
- pericardial chest pain
A
myocarditis!
8
Q
a patient has….
- tach HR/RR
- hypotension
- pain when moving
- SOB/cough
- friction rub with auscultation
- JVD
- faint heart sounds
- fatigue
- weakness
- abdominal discomfort
- gradual onset of chest pain
PMH
- cancer/tuberculosis
- MI
A
pericarditis!
9
Q
a patient has….
- fever
- difficulty swallowing
- sore throat
- muffled voice
- respiratory distress
- can’t extend the neck
A
retropharyngeal abscess!
10
Q
a patient has….
- sore throat
- fever
- headache/nausea
- swollen/pussy tonsils
- rhinorrhea (runny nose)
- soft palate rash
A
tonsilitis!
11
Q
a patient has….
- usually a child/elderly
- swelling of the epiglottis
- sore throat/difficulty swallowing
- SOB when supine
- fever
- tach HR
- tripod
- stridor
- drooling
A
epiglottitis!
12
Q
a patient has….
- hot potato voice
- fever
- sore throat (unilateral)
- unable to fully open mouth
- difficulty swallowing
- drooling
- face/neck swelling
A
peritonsillar abscess!
13
Q
a patient has….
- nausea
- severe eye pain
- blurred vision
- haloes around lights
A
glaucoma!
14
Q
a patient has….
- spots/light flashes suddenly appear in vision
- blurry central vision
- blindness
- no pain
- need opthalmoscope to see
A
retinal detachment!
15
Q
a patient has….
- unilateral epistaxis
- in occurs in the picking zone
- previous history or trauma/tumour
A
anterior epistaxis!
16
Q
a patient has….
blood from both nostrils
profuse bleeding
A
posterior epistaxis!
17
Q
a patient has….
- pain/tenderness in the sinuses
- tender face/teeth
- purulent nasal secretions
- headache when moving/sneezing/coughing
A
sinusitis!
18
Q
a patient has….
- spinning feeling
- nausea
- worse when moving the head
A
vertigo!
- assess for other causes
- supportive care
- 50 mg IM dimenhydrinate!
19
Q
a patient has….
- dyspnea on exertion
- orthopnea
- chest pain
- weakness/dizziness
- tach HR/RR
- decreased SPO2
A
pulmonary edema!
- ensure airway is secure
- ensure O2 is in normal range
- fix underlying cause
- positioning
- nitro
- 12L
- CPAP/BiPAP
20
Q
a patient has….
- tach HR/RR
- chest pain
- hemoptysis (coughing up blood)
- BP can be high or low
- SOB
- low SPO2
- classic triad
A
pulmonary embolism!
- 100% O2 via BVM
- BVM
- large bore IV to fix hypotension
- 12 lead
- zol
21
Q
PE classic triad
A
- dyspnea
- chest pain
- hemoptysis
22
Q
a patient has…
- pitting edema
- fatigue
- fat
- JVD
- GI issues/anorexia
- weight gain
- fatigue
- ascites (fluid buildup in abdomen)
A
right sided heart failure!
- ABC’s
- IV
- 12L
- if hypotensive give fluids
- non hypotensive call ALS for Lasix or narcotic analgeisa
23
Q
a patient has…
- tach HR/RR
- fatigue
- cyanosis
- orthopnea
- crackles
- wheezes
- cough
- blood tinged sputum
A
left sided heart failure!
- ABC’s
- IV
- 12L
- if hypotensive give fluids
- non hypotensive call ALS for Lasix or narcotic analgeisa
24
Q
t/f the treatment for R/L heart failure is the same?
A
T!
25
a patient has...
```
dyspnea
tachpnea
chest pain
tingling/numb
carpopedal spasm
```
hyperventilation syndrome
26
a patient has...
```
dullness on percussion
dimished breath sounds
friction rub
dypnea
pleuratic chest pain
mild hyopxemia
```
pleural effusion
comfirmed with Chest xray/ct scan/ultrasound
27
a patient has...
```
dyspnea
absent breath sounds on affected side
tach HR
hypotension
JVD
tracheal deviation
```
tension pneumothorax
28
tracheal deviation is when...
the trachea is pushed over to one side
29
a patient has...
```
ear pain (itching/fullness)
hearing loss
jaw pain
tenderness of tragus/pinna
swelling
discharge
```
otitis externa
30
a patient has...
possible fever/nausea
sore ear
this condition can also be asymptomatic
tympanic membrane can rupture
otitis media
31
a patient has...
dizziness/vertigo
tinnitus
nausea/vomiting
symptoms worse with head movement
labyrinthitis
32
a patient has...
chest pain tightness/pressure radiating to left arm/neck
CPD
lasts a few seconds/minutes
decreased O2 sat
usually know they have it and take nitro
angina pectoris
