Cardiac
A 50 yo man presents with epigastric pressure, shortness of breath and diaphoresis. He states the symptoms began while walking up the stairs and improve slightly when he rests. What condition might you suspect?
Myocardial Infarction (heart attack)
A child comes in with chest tightness, coughing, shortness of breath and expiratory wheezing. What condition to expect?
Asthma
A pt c/o throbbing pain in the R temporal area, n/v and photophobia. What condition do you expect?
Migraine
A 78 yo pt fell at home and developed severe hip pain, inability to bear weight and his left leg appears shortened and rotated. What condition do you expect?
Hip fracture
A 19 yo pt develops abdominal pain that initially began around the umbillicus but has now moved to the R lower quadrant. The pt also reports nausea, vomiting and a low grade fever. What condition would you expect?
Appendicitis
A 72 yo woman reports increasing fatigue, orthopnea and bilateral lower extremity swelling. Assessment reveals bilateral crackles and a 6lb weight gain over the past week. What condition to expect?
Congestive Heart Failure
A 70 yo client with a long history of smoking has a chronic productive cough, increased sputum production, barrel chest and prolonged expiration. What condition to expect?
Chronic obstructive pulmonary disease (COPD)
A 74 yo client suddenly develops facial drooping, slurred speech and weakness of the R arm while eating breakfast. The family states the client was normal 30 minutes earlier. What condition do you expect?
Stroke
A 54 yo woman complains of a 6-month history of progressive, deep, aching pain in the right knee. Pain worsens with weight-bearing activities like walking, standing, and climbing stairs, and is partially relieved by rest. She reports morning stiffness lasting less than 30 minutes and mild swelling
Arthritis
A client reports severe epigastric abdominal pain that radiates to the back, accompanied by persistent nausea and vomiting. The client has a history of recent gallstones. What condition is expected?
Acute Pancreatitis
A 68 yo client reports sudden pounding in the chest, weakness and dizziness. The pulse is 138/min and irregularly irregular. An ECG shows no identifiable P wave. What cardiac condition is represented?
Atrial Fibrillation
A client who underwent a knee replacement surgery 3 days ago and suddenly develops sharp chest pain, severe shortness of breath, tachycardia and an SPO2 of 82%. The client appears frightened and restless. What condition to expect?
Pulmonary Embolism
A patient loses consciousness and develops stiffening followed by rhythmic jerking of all four extremities. Afterward the client is confused and extremely sleepy. What occurred (BE SPECIFIC).
Tonic-Clonic Seizure
PT c/o lower back pain that radiates down her L leg and causes numbness. PT reports the pain started when she lifted a box while moving. What condition is expected?
Sciatica
A client is experiencing increasing abdominal girth, rapid weight gain, peripheral edema, obvious abdominal distention and shortness of breath. PT reports chronic alcohol use. What condition do you expect?
Cirrhosis
A client reports severe substernal chest pressure that occurs when climbing stairs and resolves after several minutes of rest. The client denies chest pain while sitting quietly. What condition is most likely?
Stable angina
A client suddenly develops facial and neck swelling, difficulty breathing, hypotension and widespread wheezing shortly after receiving an antibiotic. What condition to expect?
Anaphylaxis
A 4mo old is brought to the Emergency Department by a parent with complaints of lethargy, poor feeding, and recurrent vomiting over the past 24 hours. The caregiver reports the baby seemed "fussy" and inconsolable for two days following a minor fall from a couch, but the story is inconsistent with the physical findings. Infant is listless with a bulging fontanelle, pale skin, and poor tone. What condition could you expect?
Shaken baby syndrome (ICP)
A postop client develops unilateral calf swelling, warmth, redness and tenderness several days after hip surgery. What condition do you expect?
Deep vein thrombosis (DVT)
A client suddenly begins vomiting dark, coffee ground material. The client is pale and dizzy with a heart rate of 118/min and BP 88/54. What condition should be expected?
Upper GI bleed
A client reports sudden severe chest pain described as "tearing" that radiates from the chest into the back. The client is pale diaphoretic, and anxious. Blood pressures are significantly different between the right and left arms. What LIFE THREATENING condition should be suspected?
Aortic dissection
A client suddenly develops severe shortness of breath and UNILATERAL breath sounds after being tackled in a football game. The client is tachycardia, hypotensive and increasingly cyanotic. What condition to expect?
Tension pneumothorax
A pt presents to the ED with a high fever, severe headache, stiff neck, altered mental status and a petechial rash. When assessed you find a positive kernig and brudzinskis sign. What diagnosis would you expect?
Meningitis
A client suddenly develops severe pain, redness, warmth and swelling in the great toe. The client describes the painas excruciating and reports that it started overnight. What condition do you expect?
Gout
A pt c/o severe R upper quadrant abdominal pain after eating a high fat meal. The pain radiates toward the R shoulder and is accompanied by n/v. What condition expected?
Cholecystitis