OSCE part 2

Central chest apin Aggravated by exertion Relieved by rest Not related to food intake History of HTN Dyspnea and DIaphoresis

Pain radiating to the left arm History of HTN Hyperlipidemia Smoking Associated with dyspnea and diaphoresis

Stabbing chest pain Pain worsens with inspiration Relieved by aspirin Possibly associated with URI Acute onset Chest wall tenderness upon palpation Difficulty breathing

Retrosternal sharp stabbing chest pain Pain improves when leaning forward Worsens with deep inspiration/lying down Possibly associated with URI

Acute onset Dyspnea Pain radiating to the left shoulder Diagnosis of diabetes/ sickle cell anemia

Retrosternal burning sensation Pain occurring w/ heavy meals Worsens when lying down relieved by antacadis/ PPIs

Acute onset of SOB at rest Pleuritic chest pain Tachycardia Hypotension Tachypnea Mild fever Recorvering from surgery Recent travel history

Sudden onset severe pain radiates to the back hx of uncontrolled HTN

EKG Cardiac enzyme Angiography Echocardiography

Mucoid Cough Wheezing Intermittent episodes SOB

Productive cough Cough lasting 3 months for 2 years Heavy Smoker Barrel Chest Edema signs

pleuritic chest pain fever chills cough w/ purulent sputum heavy smoker pre-existing COPD

Worsening cough Hemoptysis Dyspnea Weight Loss Fatigue Heavy Smoking

Worsening cough over prolonged period Hemoptysis Dyspnea Weight loss Fatigue Heavy smoking

Cough with pink frothy sputum Worsening dyspnea Cold clammy skin Dyspnea worsens with laying down

Cough Fever Sick contact

CBC Sputum Culture Chest CT ECG Bronchoscopy

Dyspnea with cough SOB relieved with sitting up Exertional dyspnea Family history

Worsening Cough SOB Hemoptysis Weakness Weight loss

Mucoid cough Wheezing Intermittent SOB

productive cough heavy smoker pursed lips barrel chest edema/cyanosis

Pleuritic chest pain Fever Chills Purulent yellow sputum Heavy smoker Pre-existing COPD

Cough with Pink Sputum Worsening dyspnea Cold, clammy skin Dyspnea worsens w/ laying down

Acute onset SOB @ rest Pleuritic chest pain Tachycardia Hypotension Tachypnea Mild fever

Worsening Cough Night sweats, fever, chills, weigh loss Contact w/ Tb patients Unprotected sex

CBC Pulmonary Function test Chest CT Bronchoscopy Echocardiography Sputum Analysis ECG

Pitting Edema Acute Onset Unilateral leg swelling/pain Recent immobilization Smoker Oral contraceptive use

Acute onset Unilateral leg swelling Unilateral leg pain Redness Fever Hypotension

Intermittent claudication Pain worsening with exercise Dry skin w/ hair loss older age

Smoking Raynaud phenomenon Leg pain with exercise

Intermittent claudication Cramping pain in calf w/ exercise Male? female Athletes Younger age

Age Trauma Pain relieved leaning forward Aggravates moving backward Numbness in lower limb

D-dimer Bilateral lower limb ultrasound Venogram Ankle Brachial Index

Acute Onset Sore throat Runny nose Sinus congestion Fever Sick contact

Acute Onset Runny Nose Sinus congestion

Fever Sore Throat Acute Onset

Fever Sore throat Severe fatigue Loss of Apetite Epigastric and LUQ discomfort Cervical Lymphadenopathy Rash

Fever Sore throat Rash Weigh Loss IVDU

CBC Throat Swab Nasal Swab Anti-EBV Abs CD4 Count

No vertigo Light- headedness Reflex tachycardia New anti htn medication Hearing Loss

Intermitted Episodes Symptoms exacerbated by postural changes Tinnitus Vertigo Hearing Loss

Intermittent Episodes Pre-syncope Palpitations

EKG BMP Dix Hallpike Maneuver

HTN Binge Drinking Diabetes History of Stroke Older

SOB Fatigue Pitting Edema JVD Low PerfusioN S3

Chest pain Not Alleviated with Rest Nitroglycerin HTN

Exertional chest pain Nitroglycerin HTN

Sweating Restless Hyperactive Heat Intolerant

EKG, Troponin, CKMB, Chest X-ray, TSH, CBC, CMP

Thin, SOB, Sputum Production, Pursd Lips,

SOB, Cough W/O Sputum, Skin Nodules, Dirt In Eyes, Can't chew a cracker, dental carries

Stationary for long periods; recent flight or hospital stay, SOB, fatigue, pleuritic chest pain, tachycardia

Yellow/green sputum, fever, chills, pleuritic chest pain,

poorly cooked food, bad water sources, stomach pains, diarrhea/vomiting,

triggered by gluten, diarrhea, stomach pain

Pain better with meals= duodenal Pain worse with meals= peptic Chronic NSAID use bad breath

Flank pain, fever, chills, nausea, recent catheter, men older than 50, bph hx, diabetes, pain w/ urination

Unilaterla Flank pain radiating to the groin, hematuria, dark yellow urine-poor hydration, high sodium diet, gout, hx

Edema, weight gain, fatigue, loss of apetite, foamy urine

bloody casts in urine, decreased urine output, edema, HTN