Helps clinicians to systematically look beyond the obvious to arrive at a correct diagnosis
Written specifically for both novice and experienced cardiovascular clinicians in acute care settings, this is the only resource to focus on the art of conducting an in-depth patient history. Too often, patients will tell their first provider one thing and their second provider another. Even when asked the exact same question, patients’ stories can inexplicably change. Clinicians can save time, effort, and cost by parsing out conflicting patient histories with a specific and detailed line of questioning. If recorded accurately and interpreted correctly, a comprehensive history alone may obtain a correct diagnosis without exhaustive and expensive evaluations.
This book includes two clinical scenarios for chief complaints that cardiovascular clinicians may see in their practice. Unpacking these scenarios challenges clinicians to look beyond the obvious and recognize atypical presentations. Each scenario dissects then discusses the history and other pertinent patient information to illuminate subtle differences in the process of information gathering. With this breakdown, the clinician can then identify if the patient has an acute cardiovascular issue. Each chapter ends with a sample of “how to present the patient” to an MD or peer and describes common pitfalls and assumptions to avoid.
Key Features:
Focuses specifically on acute cardiovascular issues in acute care settings
Referenced by chief complaint or consult questions
Targets patient history portion of the workup
Examines subtle differences between cardiac diagnosis versus noncardiac diagnosis based on how patient history is taken
Highlights common errors in review of information using electronic medical records versus standard questioning
Author(s): Leslie E. Janik
Edition: 1st
Publisher: Springer Publishing Company
Year: 2018
Language: English
Pages: 271
Tags: Cardiac Diagnosis; Emergency Medicine
Cover......Page 1
Title......Page 4
Copyright......Page 5
Contents......Page 8
Foreword......Page 10
Foreword......Page 12
Preface......Page 16
Introduction: Assessment, Diagnosis, and Patient History in Acute Cardiac Presentations......Page 18
Reference......Page 21
Share Cardiac Diagnosis for Acute Care: The NP’s and PA’s Guide to a Comprehensive History and Deciphering the Differential......Page 22
Part I: Common Presentations of Acute Cardiac Conditions......Page 23
Definition and Significance of Chest Pain......Page 25
History A......Page 26
History B......Page 27
Key Features of the History......Page 28
Key Features of the Data......Page 33
Differentials and Differences in Exam......Page 36
Pulling it all Together......Page 38
Summarizing the Scenario......Page 40
References......Page 41
Chapter 2: Chest Pain: Another Encounter......Page 43
History A......Page 45
History B......Page 48
Key Features of the History......Page 49
Key Features of the Data......Page 51
Differentials and Differences in Exam......Page 53
Pulling it all Together......Page 55
Summarizing the Scenario......Page 59
Common Pitfalls and Assumptions......Page 60
References......Page 62
Definition and Significance of Shortness of Breath......Page 63
History A......Page 64
History B......Page 65
Key Features of the History......Page 66
Key Features of the Data......Page 72
Differentials and Differences in Exam......Page 75
Pulling it all Together......Page 77
References......Page 82
Chapter 4: Shortness of Breath: Another Encounter......Page 85
History A......Page 87
Key Features of the History......Page 90
Key Features of the Data......Page 93
Differentials and Differences in Exam......Page 97
Pulling it all Together......Page 99
Summarizing the Scenario......Page 102
Common Pitfalls and Assumptions......Page 103
References......Page 104
Definition and Significance of Syncope......Page 107
History A......Page 108
History B......Page 110
Key Features of the History......Page 111
Key Features of the Data......Page 118
Differentials and Differences in Exam......Page 120
Pulling it all Together......Page 122
Summarizing the Scenario......Page 128
References......Page 130
Chapter 6: Syncope: Another Encounter......Page 133
History A......Page 135
History B......Page 138
Key Features of the History......Page 139
Key Features of the Data......Page 142
Differentials and Differences in Exam......Page 144
Pulling it all Together......Page 146
Summarizing the Scenario......Page 152
Common Pitfalls and Assumptions......Page 153
References......Page 154
Definition and Significance of Troponins......Page 157
Key Features of the Data......Page 162
Pulling it all Together......Page 163
Summarizing the Scenario......Page 165
References......Page 167
Chapter 8: Elevated Troponin: Another Encounter......Page 169
Key Features of the History......Page 171
Key Features of the Data......Page 172
Differentials and Differences in Exam......Page 173
Pulling it all Together......Page 174
Summarizing the Scenario......Page 176
Common Pitfalls and Assumptions......Page 177
References......Page 178
Part II: Uncommon Presentations of Acute Cardiac Conditions......Page 179
Definition and Significance of Fatigue......Page 181
History A......Page 184
History B......Page 188
Key Features of the History......Page 189
Key Features of the Data......Page 191
Differentials and Differences in Exam......Page 192
Pulling it all Together......Page 193
Summarizing the Scenario......Page 197
References......Page 198
Definition and Clinical Signficance of Cough......Page 201
History A......Page 204
Key Features of the History......Page 209
Key Features of the Data......Page 212
Differentials and Differences in Exam......Page 214
Putting it all Together......Page 215
Summarizing the Scenario......Page 219
References......Page 220
Definition and Clinical Significance of Abdominal Pain......Page 223
Key Features of the History......Page 229
Key Features of the Data......Page 232
Differentials and Differences in Exam......Page 233
Pulling it all Together......Page 235
Summarizing the Scenario......Page 239
References......Page 240
Part III: Summary and Useful Clinical Tools......Page 243
Chapter 12: Conclusion......Page 245
Chapter 13: Bonus Section: The Write-Up......Page 249
Index......Page 265
