Quick History and physical for CHF: Difference between revisions

Latest revision as of 21:21, 24 July 2013

1. Obtain a focused history looking for

2. Perform a focused physical exam looking for

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-. Obtain a focused [[history]] looking for [[dyspnea on exertion]], ankle swelling, [[orthopnea]], [[cough]] with frothy [[sputum]], [[weight gain]], history of [[MI]],[[smoking]], prior diagnostics e.g.[[echocardiogram|echo]] or [[cardiac catheterization|heart cath]].
+. Obtain a focused [[history]] looking for
+*[[dyspnea on exertion]]
+*ankle swelling
+*[[orthopnea]]
+*[[cough]] with frothy [[sputum]]
+*[[weight gain]]
+*history of [[MI]]
+*[[smoking]]
+*prior diagnostics
+*[echocardiogram|echo]]
+*[[cardiac catheterization|heart cath]].
-. Perform a focused  [[physical exam]] looking for increased [[JVP]], [[rales]], bilateral lower dullness on [[chest percussion]], labored [[breathing]], [[S3 gallop]],[[hepatomegaly]], [[ascites]], positive [[hepatojugular reflux]], [[jaundice]], [[anasarca]].
+. Perform a focused  [[physical exam]] looking for
+*increased [[JVP]]
+*[[rales]]
+*bilateral lower dullness on [[chest percussion]]
+*labored [[breathing]]
+*[[S3 gallop]]
+*[[hepatomegaly]]
+*[[ascites]]
+*positive [[hepatojugular reflux]]
+*[[jaundice]], [[anasarca]].
 ==At this point, if your clinical suspicion is moving towards CHF, [[Initial workup|click here]]==