2009 workshop tasks sp version

7/23/2019 2009 Workshop Tasks SP Version

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Cardiology Cases Answer Sheet Group ______________

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Cardiology Cases Answer Sheet Group ______________

A%$ B:

Mr. Miller is a 42-year-old man in your office with newly detected lood pressureele!ation. "e states he feels well and considers himself healthy. #he nurse at

the plant where he wor$s pic$ed this up on a routine occupational health annualchec$. She has chec$ed him two additional times in the last month and eachtime his %& has een ele!ated. "e was referred to you.

"is past medical history is remar$ale for a $idney stone in '((). "e has *+,Ais up to date on immuniations and denies ma/or adult illnesses.

Medications include Ad!il occasionally high-dose multi!itamins and health foodstore supplements. "is dad is deceased of a M0 1heart attac$ at age 32 hismother is li!ing and in good health. ne rother is without health prolems.Social5 married with 2 children he and his wife are in the process of di!orcing

smo$ed ' ppd 6 ) years 7uit ') years ago drin$s 8with the oys9 after wor$ andon wee$ends 7uantifies as 8a couple of shooters and eers.9

Here are some of the physical exam results already performed.

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"ase #:

$lease repeat the "ardio!ascular Examination as in "ase %& usin' thefeedac( )tudent * recei!ed to modify your performance.

"ase *

Ms. Smith is a V2-year-old woman who presents with chest pain intermittentlyfor two years. #he pain almost stopped for a period of si6 months ut it hasreturned o!er the last 'W months. #he pain is usually on the left side of thechest radiating to the left a6illa. She descries it as a tight or gripping pain

which lasts for anything from ) to VW minutes at a time. 0t can come on at anytime often related to e6ercise ut is has occurred at rest on some occasions.#he pain is usually associated with rapid reathing and shortness of reath. 0tma$es her stop whate!er she is doing and she often feels faint or diy withthe pain. ccasionally palpitations come on efore the start of the pain5 shedescries the palpitations as a sensation of a strong ut steady hearteat.

&ast medical history is remar$ale only for adominal pain V years ago thatwas diagnosed as irritale owel syndrome. #hese symptoms still troule her."er grandfather died of an M0 her father had an M0 at age 44 and there is astrong family history of hypercholesterolemia. n routine physical 2 years ago

her cholesterol was22W with low ",X. She wor$s as a medical assistant issingle and li!es alone.

Examiner: &lease e6amine the Cardio!ascular System as you deemappropriate.

Oser!ers: >hat additional physical e6am maneu!ers would you li$e toperform on this patient to e!aluate hypertension? &ut your answers on theanswer sheet eing specific aout what you are loo$ing for or e6amining.

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"ase C:

$lease repeat the "ardio!ascular Examination as in "ase *& usin' the

feedac( )tudent * recei!ed to modify your performance.

"ase DMr. Miller from Case ' comes in for a routine hypertension follow-up appointment.You had added ,yaide 1a diuretic 2) mg & 7 , aout ' month ago for a %& of'3


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"ase JMr. Miller from Case ' comes in for a routine follow-up appointment. You had added,yaide 2) mg & 7 , aout ' month ago for a %& of '3hat additional system would you li$e to perform on this patientin order to e!aluate her symptoms? >hat do you suppose caused herpresentation?

&lease comment on the e6amination performed y the e6aminer using&rofessor %liedenZs chec$list

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"ase P

Examiner:&lease e6amine the Case ' patientZs heart sounds and rele!antadominal e6amination

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"ase %Q

Examiner:Starting from the phrase 80Ud li$e to perform a completee6amination of your heart and lood !essels9 perform a completecardio!ascular system e6amination.

4; 28,6 7, :

Professor Bliedens Checklist

AREA OF EXAMINATION

Completed!t"dent

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). %egin to differentiate etween features of chronic arterial and !enousinsufficiency

3. ,efine the different mechanisms and patterns of edema

2009 workshop tasks sp version

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