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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

  • f.

    Diabetes

  • g.

    Renal disease

  • h.

    Vascular disease

  • i.

    Inflammatory cardiac disease

  • j.

    Previous cardiac surgery

  • k.

    Congenital anomalies

  • l.

    Current/ past medications

    • (1)

      Prescribed

      • (a)

        Compliance

      • (b)

        Non-compliance

    • (2)

      Borrowed

    • (3)

      Over-the-counter

    • (4)

      Recreational

      • (a)

        For example - cocaine

  • m.

    Allergies

  • n.

    Family history

    • (1)

      Stroke, heart disease, diabetes, hypertension

    • (2)

      Age at death

  • o.

    Known cholesterol levels

  • IV.

    Detailed physical examination

    • A.

      Inspection

      • 1.

        Tracheal position

        • a.

          Neck veins

          • (1)

            Appearance

          • (2)

            Pressure

          • (3)

            Clinical significance

        • b.

          Thorax

          • (1)

            Configuration

            • (a)

              A-P diameter

            • (b)

              Movement with respirations

          • (2)

            Clinical significance

        • c.

          Epigastrium

            • (a)

              Pulsation

          • (1)

            Distention

          • (2)

            Clinical significance

    • B.

      Auscultation

      • 1.

        Neck

        • a.

          Normal

        • b.

          Abnormal

          • (1)

            Bruit

      • 2.

        Breath sounds

        • a.

          Depth

        • b.

          Equality

        • c.

          Adventitious sounds

          • (1)

            Crackles

          • (2)

            Wheezes

            • (a)

              Gurgling

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

13

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