Page 60 - Master Blueprint 2018 - 2019
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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:


                                                                                      PHYSICAL EXAM FINDINGS
                                                                                      calf tenderness and Homans sign  • cardiac auscultation, murmurs, and heart
                                                                                      sounds  • cardiac percussion and palpation (eg, thrills, point of maximal impulse,
                                                                                      parasternal heave)  • hemodynamic assessment (eg, blood pressure
             8.1    CARDIOVASCULAR CHEST PAIN                                         measurement, tilt test, jugular venous pressure, pulses, edema)  • petechiae and
             8.2    PALPITATIONS/RHYTHM DISTURBANCES                                  purpura  • vascular bruits (eg, carotid, renal)

             8.3    EDEMA AND SWELLING
                                                                                      LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
             8.4    MASSES AND LYMPHADENOPATHY
                                                                                      angiography  • blood types (eg, ABO and Rh groups)  • cardiac enzymes  • CD4
             8.5    EXTREMITY PAIN AND CLAUDICATION
                                                                                      • computed tomography imaging  • D-dimer  • electrocardiogram, 12-lead and
             8.6    SHORTNESS OF BREATH/DYSPNEA AND ORTHOPNEA                         rhythm strips  • high-sensitivity troponin  • human immunodeficiency   • testing,
             8.7    BRUISING, BLEEDING, AND CLOTTING DISTURBANCES                     antibody, antigen, viral load  • interpretation of complete blood count (eg, anemia,
                                                                                      thrombocytopenia, neutropenia, neutrophilia, polycythemia)  • iron studies  •
             8.8    CIRCULATORY COLLAPSE AND SHOCK
                                                                                      magnetic resonance imaging  • nuclear medicine imaging  • peripheral blood
             8.9    BLOOD PRESSURE EVALUATION
                                                                                      smear  • prothrombin time, international normalized ratio, partial thromboplastin
             8.10  CHEST TRAUMA                                                       time, hemoglobin electrophoresis  • radiography  • reticulocyte count  • serum
             8.11  PHYSICAL EXAM FINDINGS RELATED TO THE CIRCULATORY                  protein electrophoresis  • sonography
                 AND HEMATOLOGIC SYSTEMS

             8.12  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE CIRCULATORY AND HEMATOLOGIC
                 SYSTEMS











        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 8    PAGE 59
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