Respiratory
Productive Cough
Pleuritic CP
Fever
Wheezing/rhonci/crackles
Fatigue
Pneumonia
(Bacterial/viral/fungal)
JVD, Muffled Heart Tones, Narrowing Pulse Pressures, electrical alternans, Pulsus Paradoxus
Becks Triad = Cardiac Tamponade
Episodes of muscle weakness, pain, ataxia, tremors, speech and vision disturbances, electrical sensation down spine when head is flexed forward (Lhermitte sign), destruction of the myelin, autoimmune disease
Multiple Sclerosis
Painless vaginal bright red vaginal bleeding after the second trimester
Placenta Previa
6 months to 6 years old
Occurs during fall/winter
Stridor, low grade fever, barky cough
Croup
Rapid onset DIB
Cough, pain, anxiety, tachypnea, tachycardia
Bedridden, Birth control, Long flights, DVT, smoking
Pulmonary Embolism
HTN, crackles/rales, Pink frothy Sputum, Pulsus paradoxus (decreased BP during inspiration), Pulsus Alternans (strong/weak pulse alternating), Paroxysmal Nocturnal Dyspnea
Left Sided Heart Failure
Starts as weakness and tingling sensations in the legs that moves up the legs to the thorax and arms, can lead to paralysis within 2 weeks of onset
Guillain-Barre Syndrome
maternal hypotension and fetal distress due to placental hypoperfusion. Occurs when the inferior vena cava is compressed. Typically a 3rd trimester issue.
Supine Hypotension Syndrome
Most common 2-7 years old
Sick, anxious, tripod or sniffing position, pallor, cyanosis, stridor, sudden onset of high fever and sore throat
Epiglottitis
Diminished or absent breath sounds
Dyspnea, tachypnea, restlessness
JVD, Peripheral edema, Ascites, orthopnea, Hepato-Jugular reflex (distension of the neck veins when pressure applied to the liver)
Right Sided Heart Failure
Gradual onset of symptoms: tremor, postural instability, rigidity, bradykinesia, aphagia, dystonia
Parkinson Disease
Sudden onset of severe abdominal pain that often radiates to the back, signs of shock, can have internal or external bleeding, usually occurs in the 3rd trimester
leading cause of lower respiratory tract infections in infants
sneezing, runny nose, nasal congestion, cough, fever, pneumonia, bronchiolitis, tracheobronchitis
Respiratory syncytial virus (RSV)
JVD, Hyperresonance, Hypotension, Tracheal deviation, subcutaneous emphysema
Tension Pneumothorax
Low Systolic BP, CP, DIB, Weakness, AMS, Hypotension, Tachycardia (caused by MI, LVF, Tension pneumo, Cardiac Tamponade, Trauma)
Cardiogenic Shock
Eyelid ptosis, facial droop, weakness, excessive salivation, and loss of the ability to taste. From a minor infection of the facial nerve, can last up to two weeks
Bells Palsy
proteinuria, low platelet count, renal insufficiency, impaired liver function, pulmonary edema, headache, dizziness, syncope, floating spots, blurriness, double vision, BP equal or greater than 140/90 in the second trimester
Preeclampsia
Highly contagious disease. common cold symptoms: coughing, sneezing, runny nose, "whoop" sound
Pertussis "whooping cough"
Stiff lungs (low compliance), known as "shock lung" from diffuse damage from mechanical ventilation and high oxygen concentrations for prolonged period.
Acute Respiratory Distress Syndrome
Syncope, Absent/reduced pulses, Unequal pulse strengths (Right VS Left), Tearing sensation in back, Flank pian, Scapular pain, Pain radiating into the legs
Dissecting Aortic Aneurysm
Episodes of spontaneous tinnitus, dizziness, hearing loss, balance disorders
Meniere Disease
Infection that can pass to the newborn if mother has it. Illness of infant manifests within 7 days of life. Can cause pneumonia, septic shock, and meningitis
Group B strep
Genetic disease that primarily affects the respiratory and digestive systems. Copious amounts of thick mucus, tachypnea, chest pain, crackles, accessory muscle usage, nasal flaring
Cystic Fibrosis