Term
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Definition
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Term
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Definition
| dyspnea that occurs when the pt is lying down and improves when the pt sits up |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| reproducible discomfort of a defined muscle group that is induced by exercise and relieved with rest |
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Term
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Definition
| accumulation of excessive fluid |
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Term
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Definition
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Term
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Definition
| an unpleasant awareness of one's own heartbeat |
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Term
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Definition
| a nonpainful but uncomfortable awareness that is inappopriate to the level of exertion aka SOB |
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Term
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Definition
| lack of blood supply to tissue |
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Term
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Definition
| pain of angina pectoris causes individuals to press a clenched fist against the chest as a means of showing its constricting, pressing quality |
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Term
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Definition
| vibration felt by examiner on palpation |
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Term
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Definition
| cardiac necrosis with angina |
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Term
| PND - paroxysmal nocturnal dyspnea |
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Definition
| sudden dyspnea and orthopnea that awaken the patient from sleep usually 1-2 hrs after going to bed - Pt is prompted to open window for air |
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Term
Differentiate the following potential causes of chest pain:
Cardiac - pericarditis |
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Definition
| severe chest pain with radiations to R/L arm/shoulder. relief when leaning back |
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Term
Differentiate the following potential causes of chest pain:
Pleural |
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Definition
| sudden onset of chest pain with dypnea. with fever. with or without hemoptysis or syncope. |
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Term
Differentiate the following potential causes of chest pain:
GI |
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Definition
| tightness or heaviness; indigestion; "band across the chest" |
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Term
Differentiate the following potential causes of chest pain:
MS |
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Definition
| brief sharp stabbing pain. reproduced by palpation. pain is localized. worse with neck/arm motion |
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Term
Differentiate the following potential causes of chest pain:
Dermatologic |
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Definition
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Term
Differentiate the following potential causes of chest pain:
Vascular disease |
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Definition
aortic dissection (tearing pain often radiates to back or neck)
chest pain with Hx of Marfan's
Severe migrating pain |
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Term
| ?s to help quantify the severity of DOE and orthopnea: |
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Definition
1st establish the baseline
How many pillows? How many stairs can you walk up? How far can you walk w/out feeling out of breath? |
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Term
Cause of the cardiac complaint:
Chest pain |
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Definition
| angina pectoris (second to atherosclerosis), MI, pericarditis, dissecting aortic aneurysm |
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Term
Cause of the cardiac complaint:
Dyspnea |
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Definition
| L. sided heart failure (lying down makes it worse); Chronic bronchitis; anxiety; COPD; pneumonia; spontaneous pneumothorax |
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Term
Cause of the cardiac complaint:
Palpitations |
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Definition
| abnormal cardiac rhythm, sinus tachy., psychiatric disorder, or increased awareness of normal sinus rhythm |
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Term
| Alarm symptoms associated with following cardiac complaint: Edema |
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Definition
| New medication; chest discomfort (SOB); Syncope; Presyncope; alcohol abuse; Unprotected sex (hep b and c); abdominal swelling; smoking; hx of clots; use of ocp (especially smokers) |
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Term
| Alarm symptoms associated with following cardiac complaint: Palpitations |
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Definition
| FmHx of sudden cardiac death/arrhythmias; use of medications (methadone, antipsychotics etc) known to prolong QT interval; valvular heart disease; CAD |
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Term
| Alarm symptoms associated with following cardiac complaint: Syncope |
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Definition
| age greater than 45; hx of heart disease; chest pain or dyspnea; syncope with exertion; syncope in supine position, diplopia, dysarthria, vertigo, facial numbness |
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Term
| 6 major categories of syncope: |
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Definition
1. Neural/reflex mediated
2. Orthostatic hypotension
3. CV disease (rare cause)
4. Medication induced
5. Cardiac syncope (due to heart disease and arrhythmias)
6. Due to unknown cause |
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Term
Difference between syncope and seizure:
Syncope is due to |
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Definition
| global cerebral hypoperfusion |
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Term
Difference between syncope and seizure:
Seizure is due to |
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Definition
| abnormal neural excitation |
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Term
| Cardiovascular drugs associated with syncope: |
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Definition
| B-blockers; vasodilators; antiarrhythmias; diuretics; centrally acting antihypertensives |
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Term
| CNS drugs associated with syncope: |
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Definition
| antidepressants; antipsychotics; sedatives; anticonvulsants; antiparkinsonian agents |
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Term
| What specific disease is necessary to ask about as a part of the CV Hx? |
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Definition
| Peripheral vascular disease (PVD) |
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