Cardiovascular

Question 1

DVT

Answer 1

endocarditis

Question 2

hypertension

Answer 2

increased BP 3 separate readings
Pre-HTN: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: 160+/100+

HX: diabetes? renal dz?
smoker? meds? drugs? etoh?

Sx: generally Asx. fatigue, epistaxis, nervousness
EARLY SIGN: S4, bell @ apex

EMERGENCY if

• diastolic > 120
• CNS abns
• chest pain
• dyspnea
• retinopathy
• JVD
• lung crackles

Question 3

what would be expected for dx of: hypertension

Answer 3

increased BP 3 separate readings
Pre-HTN: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: 160+/100+

HX: diabetes? renal dz?
smoker? meds? drugs? etoh?

Sx: generally Asx. fatigue, epistaxis, nervousness
EARLY SIGN: S4, bell @ apex

EMERGENCY if

• diastolic > 120
• CNS abns
• chest pain
• dyspnea
• retinopathy
• JVD
• lung crackles

PE - peripheral pulses, fundoscopic exam, auscultate for bruits (aortic, abdominal), full cardio-pulmonary exam, neuro exam, palpate abdomen

Imaging: Stress EKG, AP CXR (cardiomyopathy)