Cardiology for the PCP
1. what incidental cardiac findings may be found?: murmur arrhythmia
hypertension
hyperlipidemia
2. what PE should be done for patients with cardiac concerns?: check vitals cardiac auscultation
lung auscultation
carotid artery auscultation as applicable
palpate pulses as applicable
asses for edema
3. what can be on differential for CP?: ACS angina
heart failure valve
disease aortic
dissection GERD
panic attack/anxiety
4. what should you ask about when a pt says they have CP?: exertional vs at rest
reproducible with palpation
character
association with food
improvement with antacids or inhalers
similar to prior CP
risk factors
5. what are CAD RF?: age >40 HTN
1/
, Cardiology for the PCP
DM
HLD
tobacco use
obesity CKD
systemic inflammation
fam hx
6. what specific fam hx should be asked for risk of CAD?: male 1st degree relative <55 yo
with CAD or
female 1st degree relative <65 yo with CAD
7. what can you do to determine if CP is cardiac or non-cardiac?: EKG Stress testing
2/
1. what incidental cardiac findings may be found?: murmur arrhythmia
hypertension
hyperlipidemia
2. what PE should be done for patients with cardiac concerns?: check vitals cardiac auscultation
lung auscultation
carotid artery auscultation as applicable
palpate pulses as applicable
asses for edema
3. what can be on differential for CP?: ACS angina
heart failure valve
disease aortic
dissection GERD
panic attack/anxiety
4. what should you ask about when a pt says they have CP?: exertional vs at rest
reproducible with palpation
character
association with food
improvement with antacids or inhalers
similar to prior CP
risk factors
5. what are CAD RF?: age >40 HTN
1/
, Cardiology for the PCP
DM
HLD
tobacco use
obesity CKD
systemic inflammation
fam hx
6. what specific fam hx should be asked for risk of CAD?: male 1st degree relative <55 yo
with CAD or
female 1st degree relative <65 yo with CAD
7. what can you do to determine if CP is cardiac or non-cardiac?: EKG Stress testing
2/
