CDM Workshop Presented by Dr.Adrijana Pesevska

Case 1 2 Questions in this Case A 68 year old male complains of one hour of chest discomfort associated with shortness of breath. He has never had a similar problem in the past. ©MDWorld These notes are the sole copyright of MDWorld and are provided to its clients for their personal use and may not be copied or distributed without the explicit permissin of MDWorld.

Question 1 What diagnosis would you be most likely to consider first? List up to three. ©MDWorld These notes are the sole copyright of MDWorld and are provided to its clients for their personal use and may not be copied or distributed without the explicit permissin of MDWorld.

Answer to Question 1 Angina, myocardial infarction or coronary artery disease Pulmonary embolism Pneumonia Pneumothorax or chest wall pain Aortic aneurysm ©MDWorld These notes are the sole copyright of MDWorld and are provided to its clients for their personal use and may not be copied or distributed without the explicit permissin of MDWorld.

Question 2 What elements in the history are NOT likely to be useful Question 2 What elements in the history are NOT likely to be useful? Select up to five. Activity at onset of pain Cough Diabetes Exercise tolerance Family cardiac history Fever Generalized macular rash headache Hematemesis Hemiparesis History of angina pectoris Hypertension Myalgias Radiation of the pain Smoking ©MDWorld These notes are the sole copyright of MDWorld and are provided to its clients for their personal use and may not be copied or distributed without the explicit permissin of MDWorld.

Answer to Question 2 Generalized macular rash Headache Hematemesis Hemiparesis myalgias ©MDWorld These notes are the sole copyright of MDWorld and are provided to its clients for their personal use and may not be copied or distributed without the explicit permissin of MDWorld.