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CLINICAL               8        PATIENT PRESENTATIONS RELATED TO THE
          PRESENTATION
                                          CIRCULATORY AND HEMATOLOGIC SYSTEMS




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations, and varied                              include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:


                                                                                      aortic aneurysm, thoracic – rupture, dissection • blood and blood-related
                                                                                      diseases – anemias, leukemias, lymphomas, sickle cell disease,
                                                                                      thrombocytopenias • blood pressure abnormalities – diastolic or systolic cardiac
                                                                                      dysfunction, hypertension, hypertension in pregnancy, hypotension, syncope •
             8.1    CARDIOVASCULAR CHEST PAIN                                         cardiac conditions – arrest, myocardial infarction, left- or right-sided heart failure,
             8.2    PALPITATIONS/RHYTHM DISTURBANCES                                  valvular heart disease, outflow obstruction, tumors, cardiomyopathies, congenital
                                                                                      heart diseases • cardiac rhythm disorders – bradyarrythmia/bradycardia,
             8.3    EDEMA AND SWELLING
                                                                                      tachyarrythmia/tachycardia (eg, atrial fibrillation) • cardiovascular conditions –
             8.4    MASSES AND LYMPHADENOPATHY
                                                                                      atherosclerosis, arteriosclerosis, hypercholesterolemia • coagulation disorders –
             8.5    EXTREMITY PAIN AND CLAUDICATION
                                                                                      hemophilia, von Willebrand disease, factor V Leiden, disseminated intravascular
             8.6    SHORTNESS OF BREATH/DYSPNEA AND ORTHOPNEA                         coagulation, pulmonary embolism, deep vein thrombosis, drug induced
             8.7    BRUISING, BLEEDING, AND CLOTTING DISTURBANCES                     coagulation disorders • edema, generalized • human immunodeficiency virus
                                                                                      and acquired immunodeficiency syndrome • lymphatic system disorders –
             8.8    CIRCULATORY COLLAPSE AND SHOCK
                                                                                      lymphadenopathy, lymphedema • pain, chest, ischemic and nonischemic; angina
             8.9    BLOOD PRESSURE EVALUATION
                                                                                      pectoris • pericardial diseases (eg, pericarditis) • peripheral vascular disease/
             8.10  CHEST TRAUMA                                                       blood vessel disorders – vasculitis, venous stasis/insufficiency, arteriosclerosis,
             8.11  PHYSICAL EXAM FINDINGS RELATED TO THE CIRCULATORY                  Kawasaki disease • pulse abnormalities – pulsus alternans, pulsus parvus, water-
                 AND HEMATOLOGIC SYSTEMS
                                                                                      hammer pulse, delayed/unequal pulses • shock –  septic, anaphylactic
             8.12  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE CIRCULATORY AND HEMATOLOGIC
                 SYSTEMS
                                                                                      CONSTITUTIONAL SIGNS AND SYMPTOMS
                                                                                      fatigue  • fever  • generalized weakness  • involuntary weight loss  • malaise  •
                                                                                      night sweats  • pallor


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        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 8    PAGE 58
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