USMLE PRACTICE TEST AUSCULTATION VSD FULL
When you walk in the room you see a 68-year-old man who is alert and oriented, is in mild distress due to pain, and appears pale and clammy.Īirway: Intact, speaking in full sentencesīreathing: No significant respiratory distress, but does have an increased respiratory rateĬirculation: Cool, clammy, and pale skin, normal pulses and normal capillary refillĬhest: No reproducible pain to palpation to chest wall, no signs of chest trauma Social History (SHx): Former smoker (1 pack of cigarettes/day), quit 5 years agoįamily History (FHx): Hypertension - FatherĪfter obtaining information from the patient, you perform a physical exam. Past Medical History (PMHx): Hypertension and Type 2 Diabetes Past Medical, Surgical, Social, and Family History
Denies dyspnea (shortness of breath), cough, congestion, fevers, urinary symptoms, or changes to stool. Today’s episode began while raking the leaves. The pain is intermittent and a “burning” sensation. The patient is a 68-year-old male with a history of hypertension and diabetes presenting with 3 days of localized epigastric abdominal pain. What is his past medical, surgical, social, and family history?Īs you evaluate the patient you learn the following: What does the pain feel like? (Burning, stabbing, sharp, dull, etc.)ĭoes anything make the pain better or worse? Whether the pain radiates or is localized? Examples of more questions you might ask the patient:
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