Cronic Nasal Bleeding

Cocaine abuse
Coagulopat
Art plexus
HEENT, dental, oral cavity
Head:NC/AT
Eyes: EOMI , PERRLA, Fundoscopy WNL, no papilledema, vision WNL, no visual field
defects, sclera not injected
Ears: Canals w/o abnormalities, TM clear b/l
Nose Nasal turbinates not congested
Throat: No tonsillar enlargement, erythema, exudates or vesicles
Oropharyng: Dentition, Lesions
Neck: Supple, no thyroid enlargement, no LAD

Coagulopathy
ALL
Venous plexus malf
Angiofibroma

Appendicitis
Ovarian cyst
PID
Ectopic pregnancy
Colelitiasis
Gastroenteritis
Negative scars or skin changes
+BS in 4q
Tympanic to percussion in 4Q
Soft, NT, ND
No hepatomegaly/ No esplenomegaly
23 yo female

Ectopic preganancy
Acute apendicitis
Ovarian Cyst
PID
Cystitis
Gastroenteritis
Gastritis

60 yo man SOB
AMI
Chronic Bronchitis
Emphysema
CHF
PE
Pneumonia

S1, S2 WNL or +
RRR or regular rhythm
Negative m, r, g
PMi non displaced
Negative JVD
Radial, and Dorsalis Pedis normal b/l
Bilateral pedal edema

Resp
-

Cyanosis clubbing
TVF WNL
CTA and P clear to A and P b/l
Rales wheees rhonchi b/l
Tenderness to palpation in sternal and epigastric area

56 yo SOB acute
Acute pulmonary edema
AMI
PE