CaryExam2Review.docx - Diagnostic testing for DVT Ascending venogram D-Dimer Compression USG MRI Wells Score Peripheral Vascular Disease Differentials

CaryExam2Review.docx - Diagnostic testing for DVT Ascending...

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Diagnostic testing for DVT? Ascending venogram, D-Dimer, Compression USG, MRI, Wells Score, Peripheral Vascular Disease Differentials: arterial- 5P’s (pain, pallor, pulseless, paralysis, paresthesia, shiny ski, hair thinning, thick toenails (Keep legs down for blood flow) venous - venous pooling, edema, discoloration, pain (Keep legs up for blood return) DVT - warm, erythema, pain, red streaking Varicosities - engorged vessels, visible veins, “spider veins” Obstructive Vs Restrictive Pulm Diseases FVC < than 80%-restrictive disease; FVC < 70% obstructive-COPD, emphysema, Bronchitis, asthma ASTHMA: FEV1 Classification: Normal FEV1/FVC : 8-19 yr 85% 20-39 yr 80% 40-59 yr 75% 60-80 yr 70% Intermittent - pulmonary function may be normal, symptoms less than 2 days per week Mild - wake up few times/month and use rescue inhaler 3-4x per week, minor limits on activity Mod persistent - wake up once/week use rescue inhaler daily, some limitation of activity Severe persistent - wake up from sleep often use rescue inhaler multiple times/day, 7x per week usage of inhaler and extremely limiting their activities Signs and Symptoms: Emphysema - cough, hemoptysis, smoker, hyperventilation Bronchitis- cough, sputum, dyspnea Pneumonia - fevers, chills, sputum production, myalgias, chest pain, possible crackles Asthma - I/E wheezing, accessory muscle use, stridor, tachypnea, tachycardia, SOB COPD- dyspnea, cough, barrel chest, crackles, JVD, fatigue distant Breath Sounds, wheezing CURB65 -confusion, BUN >19, RR >30, BP: sys<90, dys <60, age >65 0.1 home, 0-2 short Outpatient, 3-5 inpatient, possible ICU admittance
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Common organism associated with CAP - S pneumoniae, Hemophilus Influenzae, Mycoplasma Pneumoniae, Chlamydophilia Pneumoniae, Viral Infections. Stages of COPD -1. mild FEV>80%, 2. Mod FEV50-79% 3. Severe FEV1 30- 39% 4. Very severe <30%(pg362) Contributing factors to obstructive sleep apnea, PT EDUCATION-
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