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Ayokunle Olubaniyi (talk | contribs)
Ayokunle Olubaniyi (talk | contribs)
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{{familytree/start}}
{{familytree/start}}
{{familytree | | | | | | | | A01 | | |A01=<div style="float: left; text-align: left; width: 30em; padding:1em;"> '''Characterize the symptoms:'''<br>
{{familytree | | | | | | | | A01 | | |A01=<div style="float: left; text-align: left; width: 30em; padding:1em;"> '''Characterize the symptoms:'''<br>
<br>
❑ '''Cardiac'''
❑ '''Cardiac'''
:❑ [[Chest pain]]
:❑ [[Cough]]
:❑ [[Dyspnea]] at rest
:❑ [[Exertional dyspnea]]
:❑ [[Exertional dyspnea]]
:❑ [[Dyspnea]] at rest
:❑ [[Orthopnea]]
:❑ [[Orthopnea]]  
:❑ [[Palpitation]]
:❑ [[Paroxysmal nocturnal dyspnea]]
:❑ [[Paroxysmal nocturnal dyspnea]]
:❑ [[Chest pain]]
:❑ [[Palpitation]]
:❑ [[Cough]]
:❑ [[Peripheral edema]]<br>
:❑ [[Peripheral edema]]<br>
❑ '''Extracardiac'''


❑ '''Extracardiac'''
:❑ [[Anorexia]]
:❑ [[Anorexia]]
:❑ [[Weight loss]]
:❑ [[Bloating]]
:❑ [[Fatigue]]
:❑ [[Nausea]]
:❑ [[Nausea]]
:❑ [[Fatigue]]
:❑ [[Oliguria]]
:❑ [[Oliguria]]
:❑ [[Bloating]]
:❑ [[Weight loss]]


----
----
Line 31: Line 30:
:❑ [[Thiazolidinedione]]
:❑ [[Thiazolidinedione]]
❑ '''Past medical history'''
❑ '''Past medical history'''
:❑ Previous [[myocardial infarction]]
:❑ [[Arrhythmias]]
:❑ [[Valvular heart disease]]
:❑ [[Cardiomyopathy]]
:❑ [[Cardiomyopathy]]
:❑ [[Diabetes mellitus]]
:❑ [[Hypertension]]
:❑ [[Hypertension]]
:❑ [[Diabetes mellitus]]
:❑ [[Obesity]]
:❑ [[Obesity]]
:❑ Previous [[myocardial infarction]]
:❑ [[Sleep disorders]]
:❑ [[Sleep disorders]]
:❑ [[Thyroid disorders]]
:❑ [[Thyroid disorders]]
:❑ [[Arrhythmias]]
:❑ [[Valvular heart disease]]
❑ '''Family history'''
❑ '''Family history'''
:❑ History of [[dilated cardiomyopathy]]
:❑ History of [[dilated cardiomyopathy]]
❑ [[Radiation]] to the chest</div>}}
❑ [[Radiation]] to the chest</div>}}
{{familytree | | | | | | | | |!| | | | |}}
{{familytree | | | | | | | | |!| | | | |}}
{{familytree | | | | | | | | B01 | | | |B01=}}
{{familytree | | | | | | | | B01 | | | |B01=<div style="float: left; text-align: left; width: 25em; padding:1em;"> '''Examine the patient:'''<br>
❑ General examination:
:❑ [[Pulse rate]] - ↑
:❑ [[Blood pressure]] - ↑ or ↓
:❑ [[Respiratory rate]] - ↑
:❑ [[Weight]]
❑ Head/neck examination:<br>
:❑ ↑ JVP
❑ Cardiovascular examination:
:❑ [[Wheeze]] (cardiac asthma)
:❑ S3 or S4 or both 
:❑ New or changed murmur
❑ Respiratory examination
:❑ Crackles
❑ Abdominal examination:
:❑ [[Hepatomegaly]]
:❑ [[Ascites]]
❑ Neurological examination:
:❑ [[Altered mental status]]
❑ Extremity examination:
:❑ [[Pedal edema]]
❑ Assess severity - NYHA or ACC/AHA</div>}}
{{familytree | | | | | | | | |!| | | | | |}}
{{familytree | | | | | | | | |!| | | | | |}}
{{familytree | | | | | | | | C01 |-| C02 | | | |C01=|C02=}}
{{familytree | | | | | | | | C01 |-| C02 | | | |C01=|C02=}}

Revision as of 21:40, 20 February 2014

Management

 
 
 
 
 
 
 
Characterize the symptoms:

Cardiac

Chest pain
Cough
Dyspnea at rest
Exertional dyspnea
Orthopnea
Palpitation
Paroxysmal nocturnal dyspnea
Peripheral edema

Extracardiac

Anorexia
Bloating
Fatigue
Nausea
Oliguria
Weight loss

Obtain a detailed history:
Medications:

Alcohol
Beta blockers
Calcium channel blockers
❑ Chemotherapy drugs - anthracyclines]]
NSAIDs
Thiazolidinedione

Past medical history

Arrhythmias
Cardiomyopathy
Diabetes mellitus
Hypertension
Obesity
❑ Previous myocardial infarction
Sleep disorders
Thyroid disorders
Valvular heart disease

Family history

❑ History of dilated cardiomyopathy
Radiation to the chest
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Examine the patient:

❑ General examination:

Pulse rate - ↑
Blood pressure - ↑ or ↓
Respiratory rate - ↑
Weight

❑ Head/neck examination:

❑ ↑ JVP

❑ Cardiovascular examination:

Wheeze (cardiac asthma)
❑ S3 or S4 or both
❑ New or changed murmur

❑ Respiratory examination

❑ Crackles

❑ Abdominal examination:

Hepatomegaly
Ascites

❑ Neurological examination:

Altered mental status

❑ Extremity examination:

Pedal edema
❑ Assess severity - NYHA or ACC/AHA
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

References