SOB + Leg Swelling Flashcards
1
Q
SOB & Leg swelling Differentials
A
- CHF (2ndary to uncontrolled HTN)
- Cardiomyopathy (due to alcohol, infection, toxins)
- Pulmonary hypertension
- Valvular disease
- Chronic liver failure
2
Q
CHF
A
- SOB at rest
- orthopena
- bilateral lower limb edema
- productive cough pink frothy sputum
- wheezing
- fatigue
3
Q
Cardiomyopathy
A
- SOB on exertion AND rest
- peripheral edema
- chest pain
- lightheadedness
- abdominal distension
- fatigue
4
Q
Pulmonary hypertension
A
- SOB
- fatigue
- chest pain
5
Q
Valvular disease
A
- SOB on exertion
- orthopnea
- chest pain
- edema
6
Q
Chronic liver failure
A
- bilateral lower limb edema
- dry itchy skin
- jaundice
7
Q
SOB & leg swelling Plan
A
ECG
BNP
CBC
8
Q
PE relevant system
A
CVS system
9
Q
CVS system:
A
- Evaluation of the JVP
- Evaluation of the Carotid Pulses
- Inspection of the Precordium:
- Palpation
- Auscultation
10
Q
Additional systems:
A
- re-evaluate BP, HR, RR
- check for pedal oedema or peripheral pulses
11
Q
Specific ROS:
A
Cough Sputum production Wheezing Itching Weight gain
12
Q
Specific questions:
A
- How many blocks can you walk without getting short of breath?
- Does the shortness of breath occur with exertion? At rest? Lying down?
