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FACTS/PROBLEMS HYPOTHESES NEED TO KNOW LI’S

-16 yo -Pericarditis -HPI: -DDX for sharp central chest pain in 16
-Caucasian -Atrial Septal Defect/Ventricular Septal Onset: Ill/Tired during school year olds
-Female Defect yesterday. Awoke this morning -N9 Pericarditis (explain cardiac
-Single -Endocarditis with chest pain findings, mention constrictive
-Brought to ER by parents -Pneumonia Assoc. Symp: Fever, chills, SOB, pericarditis)
-CC “sharp pain in the center of chest” -Drugs (cocaine) dizziness -N9 Cardiac Tamponade (what is pulsus
-MI Quality: Sharp, severe, constant paradoxicus? Explain
-Trauma (stabbing?) Aggrav. Fact: Taking a deep breath, pericardiocentesis)
-Costocondritis lying down -Atopic Dermatitis (brief overview.
-Cardiac Tamponade Allev. Fact: Sitting up, leaning Pertain to paddlers? Explain skin PE
-Aortic Dissection forward findings)
-GERD Radiation: Shoulders -Hydrocortisone cream (What is it?
-Stable/Unstable Angina -PMH: What does it do? Dosage? What is
-Pulmonary Embolism Illnesses: Atopic dermatitis, skin BID?)
-Asthma infections in knees, URI 7 days ago -SLE (systemic lupus erythematosus)
-WPW Medications: Hydrocortisone cream What is Antinuclear Antibody
Immunizations: Up to date (dilutions?)?
Surgeries/Hospitalizations: None -What microorganisms cause URIs?
-PP: -CBC: Explain the differential WBC
11th grade at Iolani, hardworking count (band forms? Segmented
student, paddles, not sexually neutrophils? Etc.)
active, doesn’t smoke, drink -Microbio of Staph aureas in relation to
alcohol, or use illicit drugs, parents pericarditis; MRSAs; Pharm of
are lawyers vancomycin
-Gen App: -Explain pericardial fluid analysis
-Anatomy of the pericardium
-VS: -How do you decrease the risk of
T: 40C malpractice lawsuits
RR: 26/min -Pharm of methicillin
P: 110
BP: 100/70mmHg
-PE:
Skin: tan, course, flaking, atrophic,
shiny, superficial vessels more
apparent, no nodules, petechiae,
roth hemorrhages
HEENT: Normal
Neck: JVD apparent
Lungs: Clear (no wheezes.
Crackles, or ronchi)
Cardiac: Soft and distant sound,
friction rub
Abdomen: Muscular, soft to
palpation
FACTS/PROBLEMS HYPOTHESES NEED TO KNOW LI’S
Extremities: Inguinal adenopathy

-CBC
-Blood culture (sepsis)
-Echocardiography (can show an
enlarged pericardium)
 LI’S (cont’d)
-KRISTEN: N9 Pericarditis (explain cardiac findings, mention constrictive pericarditis)

-MARN: N9 Cardiac Tamponade (what is pulsus paradoxicus? Explain pericardiocentesis)

-TREVOR: Microbio of Staph aureas in relation to pericarditis; MRSAs (why methicillin, penicillin, and cephalosporins don’t work); Pharm of vancomycin; Pharm of
methicillin

-ASH: Anatomy of the pericardium; Explain pericardial fluid analysis; How do you decrease the risk of malpractice lawsuits; SLE (systemic lupus erythematosus. Briefly, what
is it?) What is Antinuclear Antibody (dilutions?)?

-JIN: Atopic Dermatitis (brief overview. Pertain to paddlers? Explain skin PE findings); Hydrocortisone cream (What is it? What does it do? Dosage? What is BID?); CBC:
Explain the differential WBC count (band forms? Segmented neutrophils? Etc.)