notes of JPFERRARA http://members.tripod.com/~uncljoedoc/index.html      

porphyrias	photosensitivity	diarrhea abdominal pain	neurologic disturbances

atypical cardiac pain syndrome	mitral valve prolapse	dissection of great vessels	pulmonary  embolism

atypical cardiac pain syndrome	sharp stabbing 	pleuritic	variable intensity	location variable

risk factors for ascvd	lipid status	family history	history of smoking	history of hypertension		diabetes	prior history

dyspnea		perception of increased work of breathing	may be associated with cardiac event

dizziness		arrhythmia

syncope		postural hypertension		vasovagal		stokes adams	seizure

fever 	cardiac presentation		rheumatic fever		endocarditis

hepatojugular reflex abnormality		superior vena cava obstruction	constrictive pericarditis	chf	Kussmaul's sign

Kussmaul's sign	jugular venous column rises on inspiration

pleural friction rub		pulmonary infarction		pneumonia with pleurisy

clicks	congenital aortic and pulmonic valve stenosis		mitral or tricuspid valve prolapse

mitral stenosis 	opening snap

systolic  murmurs		ejection murmurs	holosystolic murmurs

ejection murmurs	turbulent forward flow

holosystolic murmurs	regurgitant or aberrant flow into chambers of lower resistance or pressure.

chest xray		heart size		heart shape		lungs	lung vasculature

heart shape	-left side	first segment aortic arch	second segment pulmonary a.  	third segment l. atrium	fourth segment ventricles

heart shape-right side	first segment superior vena cava (aorta in older patient)		second segment right atrium