Destination of the patient following the ED evaluation. Admitted to the hospital, discharged or
transferred to another facility.
What subcategories are included in the Past History section of the template?
PMx: Past Medical History
PSHx: Past Surgical History
FHx: Family History
SHx: Social History
What is the term for gallbladder removal?
Cholesystectomy
What is the medical term for redness?
Erythema/Erythematous
That is the medical term for bruising?
Eccymosis
Pertinent Positives
present symptoms that point to a diagnosis
Catch Phase for CAD
Chest pain with physical exertion
Nitroglycerin
NTG
sublingual
put meds under tongue
Chief Complaint of CAD
CP (worse with exertion, better with rest/NTG)
CAD diagnosed by..
Cardiac Catheterization or stress test (not diagnosed in ED)
PMHx signs for a CAD
MI, Angina, CABG, Cardiac stents, or Angioplasty
Single greatest risk for an MI
, CAD
Meds given to patients with CP
324 mg Aspirin PO
.4 mg NTG SL
Stemi patients must...
go to cath lab within 90 minutes of arrival
CHF
heart becomes enlarged, inefficient, and congested with fluid
Catch phrase for CHF
SOB with pedal edema and orthopnea
Orthopnea
SOB when lying flat
Pedal edema
swelling of ankles and feet
PND
Paroxysmal Nocturnal Dyspnea
DOE
Dyspnea on Exertion
How to diagnose CHF
CXR or elevated BNP
BNP
B type natriuretic peptide
PE of CHF
JVD, Rales in lungs, pedal edema
JVD
Jugular Vein Distention
Atrial Fibrillation
top of heart (atria) quivers abnormally
Atrial Fibrillation diagnosed by...
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