WorksheetsCVS Symptoms
Total questions: 24
Worksheet time: 13mins
-retrosternal
-crushing
- worse with physical & emotional
- usually due to coronary artery disease
-not affected by respiration or movement
MI
Angina
Oesophageal spasm
Dyspnoea
Most common describe of patient to angina ?
Clench right fist and hold in chest
Coughing
Holding head for headache
Radiation in arm
- known as heart attack
-associated with nausea ,sweating & vomiting
-described as impending doom or
death angor animi
MI
Angina
Pericarditis
Oesophageal spasm
• Worse on inspiration (pleuritic).
• Relieved slightly by sitting forwards.
• Not related to movement or exertion.
Ml
Pericarditis
Oesophageal spasm
oedema
The commonest causes of Pericarditis?!
-select all that apply
viral Infection
bacterial infection
Ml
uraemia
Often mistaken for MI or angina.
Oesophageal spasm
Dissecting aortic aneurysm
Pleuritic (respiratory) pain
Dyspnoea
• A severe, retrosternal burning pain.
• Onset often after eating or drinking.
• May be associated with dysphagia.
• May have a history of dyspepsia.
MI
Angina
Pericarditis
Oesophageal spasm
GTN relieving differences between Oesophageal spasm & Angina?
Up to 20 min to Oesophageal spasm and only few to Angina
Up to 20 min to Angina and only few to Oesophageal spasm
Up to 15 min to Angina and only few to Oesophageal spasm
Up to 15 min to Oesophageal spasm and only few to Angina
- known as “Heart burn”
-Retrosternal, burning pain.
-Relieved by antacids
-onset after eating
aortic aneurysm
Oesophageal spasm
Pericarditis
Gastro-oesophageal reflux
• Felt posteriorly classically between the shoulder blades.
• Persistent, most severe at onset.
• Patient is usually hypertensive
and marfanoid
MI
Angina
Dissecting aortic aneurysm
Oesophageal spasm
• Sharp pain, worse on inspiration
and coughing.
• Not central.
• No radiation. • No relief with GTN. • Associated with breathlessness, cyanosis.
Pleuritic (respiratory) pain
Musculoskeletal pain
Dyspnoea
Orthopnoea
• May be caused by injury, fracture, chondritis, etc.
• worsened by movement and respiration.
• May be tender to palpation.
Pleuritic (respiratory) pain
Dyspnoea
Dyspnoea
Musculoskeletal pain
- in Tietze's syndrome the costochondritis is in which ribs?
2,3&4
3,5&6
4,5&6
3,4&5
Cause of Excess tissue fluid?
a failing heart
Respiratory disease
Back pain
If someone on his feet and his heart is failing the oedema is in ….
sacrum
Ankles
Hand
Lungs
If someone is bed bound and his heart is failing the oedema is in ….
Sacrum
ankles
Hand
Lungs
If someone is lying down and his heart is failing the oedema is in …. and cause breathlessness.
Ankles
Hand
Sacrum
Lungs
abnormal awareness of one's breathing
Dyspnoea
Musculoskeletal pain
Pleuritic (respiratory) pain
MI
breathlessness when lying flat
oedema
Dissecting aortic aneurysm
Orthopnoea
MI
What are questions u ask for dyspnoea patient :
Select all that apply
How far can the patient walk on the flat before they have to stop (march tolerance?)
What about stairs and hills can they make it up a
flight?
Are they sure that they stop due to
breathlessness or is it some other reason
(arthritic knees for example)?
Has the patient had to curtail their normal
activities in any way?
How many pillows does the patient sleep with
and has this changed?
Some patients may describe having to sleep sitting upright in a chair.
What is the problem?
MI
Pericarditis
Oesophageal spasm
Orthopnoea
this is episodes of breathlessness
occurring at night usually thought to be due to pulmonary
oedema.
Paroxysmal nocturnal dyspnoea
Ankle oedema
Pericarditis
Angina
Questions to ask about Paroxysmal nocturnal dyspnoea:
Select all that apply
Do they wake up in the night coughing and trying to catch
their breath?
How badly the symptom is disturbing the patient's
sleep cycle?
How many pillows does the patient sleep with
and has this changed?
Questions about Ankle oedema:
Select all that apply
How long has this been going on for?
Is it worse at any particular time of day?
how extensive is the swelling?
Is there any evidence of abdominal swelling and ascites?
Do they wake up in the night coughing and trying to catch
their breath?
