Phew, what a relief to know I passed an exam...need to remember to ask/do the following for future patients:
- Ask about diet/exercise
- Test for sensation
- Warn patient about thyroid exam/chest exam and ask permission to undrape
- Pull out and put back in leg rest
- Put patient's socks back on
- For chest pain, ask about nausea, if pain worsened by deep breath, listen to heart while lying flat. Whether chest pain is exertional or positional. Specifically write whether patient is or isn't taking aspirin.
- Ask/write age/gender
- Write negatives (e.g. no exacerbations)
- Write how other diseases (DM) are controlled
- Document abdominal exam and edema
- Sample differential for chest pain:
- Acute coronary syndrome, MI, unstable angina,e tc.
- General angina, CHD, CAD, ischemia
- Pericarditis
- GERD, esophageal spasm, etc.
- Pulmonary embolism
- Aortic dissection or aneurysm
- Myocarditis
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