Cardiovascular
Abnormal CVP suspected -> high central venous pressure Abnormal CVP suspected -> low central venous pressure Aortic stenosis (asymptomatic) -> severe aortic stenosis Aortic stenosis (symptomatic) -> severe aortic stenosis Cardioversion for AF/AFL -> relapse out of sinus rhythm Cervical bruit -> high grade stenosis (> 70%) Chest pain (age >= 65) -> myocardial infarction Chest pain (age 30-64) -> myocardial infarction Chest pain -> acute coronary syndrome Chest pain -> myocardial infarction Chest pain -> thoracic artery aneurysm CHF suspected (post-MI) -> CHF (LVEF < 40%) CHF suspected (post-MI) -> right-sided CHF (RVEF < 45%) Dehydration suspected -> acidosis (CO2 < 15) Dehydration suspected -> over 5% dehydrated Diabetic foot ulcer -> osteomyelitis Diarrhea (non-bloody) -> invasive diarrhea DVT suspected (pregnant) -> deep vein thrombosis DVT suspected -> DVT Dyspnea ((asthma/COPD pt)) -> CHF Dyspnea -> CHF GCA suspected -> giant cell arteritis Headache -> subarachnoid hemorrhage Headache -> cluster headache Hypertension -> renovascular hypertension Knee dislocation -> arterial injury Leg complaints (any) -> PAOD Leg complaints (DM) -> severe PAOD Orthostatic complaint -> neurocardiogenic syncope Orthostatic complaint -> postural orthostatic tachycardia Palpitations -> clinically significant arrhythmia PE suspected -> pulmonary embolism Pericardial effusion -> cardiac tamponade Peritonsillar abscess suspected -> peritonsillar abscess Post-cardiac arrest coma -> poor neuro outcome or death Pulmonary HTN suspected -> pulmonary hypertension (mPAP ≥ 25) Pulmonary HTN suspected -> pulmonary hypertension (severe, mPAP ≥ 45) Screening -> abdominal aortic aneurysm Screening -> atrial fibrillation Screening -> hypertension Screening -> mitral valve prolapse (classic) Shoulder injury -> anterior shoulder instability (traumatic) Stroke -> aspiration Stroke -> good outcome at 6 mos Stroke -> hemorrhagic stroke Suspected hypovolemia -> hypovolemia not due to blood loss Suspected hypovolemia -> large blood loss Suspected hypovolemia -> moderate blood loss Syncope (no suspicion heart disease) -> cardiac syncope Syncope (no suspicion heart disease) -> neurally mediated syncope Syncope -> cardiac syncope Syncope -> serious adverse outcome Systolic murmur -> aortic stenosis Systolic murmur -> hypertrophic cardiomyopathy Systolic murmur -> mitral regurgiation and VSD Systolic murmur -> mitral regurgitation Systolic murmur -> right-sided cause Systolic murmur -> tricuspid regurgitation TOS suspected -> thoracic outlet syndrome Valve disease suspected -> aortic regurgitation Valve disease suspected -> atrial septum defect Valve disease suspected -> detecting any murmur Valve disease suspected -> mitral regurgitation Varicose veins -> venous reflux Vasculitis symptoms -> childhood polyarteritis nodosa Vasculitis symptoms -> childhood Takayaso arteritis Vasculitis symptoms -> childhood Wegener's granulomatosis