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[Skill Modules
>>
Heart Sounds & Murmurs
>>
Patient Hx
]
Patient History: Heart Sounds
& Murmurs
Palpitations and Arrhythmias
- Onset and termination - abrupt or insidious
- Duration
- Rate
- Regular or irregular rhythm
- Any associated symptoms of dyspnea, syncope, chest pain?
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CHF
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Acute
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Chronic
- Edema
- Dyspnea
- Weight gain
- Chest pain
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Dyspnea
- Shortness of breath at rest
- Amount of exertion needed to cause dyspnea
- Wake up gasping for bed and get up to relieve it (Paroxysmal Nocturnal Dyspnea)
- Unable to lie flat (orthopnea), especially a change, measured by number of pillows needed
- Associated wheezing or coughing
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Angina
- Typically substernal crushing chest pain
- Worse with exertion
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Pain quickly relieved or significantly decreased with nitroglycerin
Associated Signs:
- Pallor
- Dyspnea
- Diaphoresis
- Nausea, vomiting
- Radiation of pain to neck or arm(s)
- Syncope
Anginal equivalents may be cough, dyspnea or abdominal pain or symptoms resembling GERD |
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