Quick History and physical for CHF: Difference between revisions

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(Created page with " 1. Obtain a focused history looking for dyspnea on exertion, ankle swelling, orthopnea, cough with frothy sputum, weight gain, history of MI,sm...")
 
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2. 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]].
2. 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, [[click here]]==
==At this point, if your clinical suspicion is moving towards CHF, [[Initial workup|click here]]==

Revision as of 21:05, 24 July 2013


1. 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.echo or heart cath.


2. 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, click here