Scribe America ED Course 2 with perfect answers 2024

Pertinent Positives correct answersSpecific symptoms that raise the physician's suspicion for a particular diagnoses Pertinent Negatives correct answersSpecific symptoms that are not present which cause the physician to doubt certain diagnoses Coronary Artery Disease (CAD) correct answersEtiology: Narrowing of the coronary arteries limits blood supply to the heart muscle causing angina (chest pain specifically due to heart muscle ischemia) Diagnosed by: Cardiac catheterization Meds: Aspirin (ASA) and Nitroglycerin (NTG) Myocardial Infarction (MI) correct answersEtiology: Acute complete blockage of the coronary arteries results in ischemia and infarct of the heart muscle Diagnosed by: EKG (STEMI) and elevated Troponin (non-STEMI) Risk Factors: CAD, HTN. HLD, DM, Smoker, FHx of CAD 55 y.o. Meds: ASA, NTG, and thromolytic (Heperin) ***STEMI = elevated ST waves Non STEMI = elevated troponin in blood (enzyme that leaks into blood due to infarct) Congestive Heart Failure (CHF) correct answersEtiology: heart becomes enlarged, inefficient and congested with excess fluid Diagnosed by: CXR or elevated BNP (Beta type natriuretic peptide)