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Histroy taking in cardiac cases
This document outlines topics to cover when taking a history for cardiac cases. It includes sections to gather information on the patient's presenting complaints, history of present illness, risk factors, examinations of symptoms like chest pain, breathlessness, and palpitations, past medical history, investigations, treatment, and functional status. The goal is to obtain a comprehensive medical history to inform the diagnosis and management of potential cardiac conditions.
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Histroy taking in cardiac cases
- 1. History Taking in Cardiac Cases ShahidAbbas Interventional cardiologist and Physician
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- 4. Presenting Complaints 1 or2 How to ask ?
- 5. H/o present Illness •How to start ? • Detail of PC and all the pertaining Issues Missed D/D
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- 7. Chest Pain • Intensity •Pattern • Location • Duration • Radiation • Aggravating/ relieving F • Frequency • Progression • D/D • ACS • Pneumonia • PE • Dissection of Aorta • APD GERD • Costochondritis Associations • Sweating • Palpitations • Fever • Breathlessness • vomiting
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- 9. Breathlessness • NYHA • Orthopnia/PND (No of Pillows) • Palpitations • Oedema feet • Abd Distension • Otners • Life style modification • Fever • Hemoptysis • D/D • LVF • COAD/ Br Asthma • Infections/TB • PEmbolism
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- 11. Palpitation • Frequency • Rhythem •Micturtion reflex • DC cardioversion • Embolic • Drugs • CVA • Kid • Gut • Limb
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- 13. Risk Factors • DM •HTN • Smoking • Dyslipedemia • Family History • Menopause CAD equivalents • DM • Abd Aortic aneurysm • PVD • Symptomatic Carotid Artery disease
- 14. Cardinal points • DizzinessSyncope • CVA • Carotid Artery Disease • Chest Pain • Breathlessness • Palpitations • MI • Intermittent Claudication • Oedema Feet
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- 17. Treatment Compliance Response to medications Sideeffects Admissions Drug Allergies
- 18. Personal / familyHistory Exercise Smoking Alcohol Marital Status Kids Socioeconomic Bracket
- 19. Pace Makers • OldDocuments • 1 Lead or 2 Leads • Syncope • Pus discharge from pocket - I/v Drugs Antibiotics • Pace Maker follow up trouble shooting • Threshold • Sensing not possible in demand mode • Anticoagulation (AF + Pacing)
- 20. Pace Maker (Cont) •Hysteresis • Bipolar pacing • Magnet VOO • Over sensing/ under sensing
- 21. VHD Presenting Symptoms • decompensation Firstsymptom Breathlessness • Orthopnia • Life style modification • Otners synd • Wheeze • Palpitation
- 22. VHD (cont ) ChestPain • Angina • IHD risk Factor Hemoptysis • Fever • Pulm oedema • Chest Pain (infarction/ Embolism)
- 23. VHD (cont ) IE •Fever duration response to Medications • Admission Thrombo-Embolism • Palpitations • KID • CVA • Gut • Limbs
- 24. VHD (cont ) Progressionof Disease Rehumatic Fever Child hood • Sore throat • Joint pains • Monthly painful Inj Admissions in the Past Investigations • Xray Chest • ECG, ECHO
- 25. VHD (cont ) Treatment •Compliance • Response • Side effects
- 26. Functional Disabilty Class 0 ClassI ClassII Class III Class IV • Transfer • Dressing • Wash room utility • Ablation • Eating
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