5.8.2013(Chest Pain) Flashcards Preview

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Flashcards in 5.8.2013(Chest Pain) Deck (23):
0

Most common cause of chest pain other than MI

Gastro esophageal causes
GERD
PUD
Esophageal motility disorders
Gall stones

1

Common sites of radiation of anginal pain

Neck
Jaw
Teeth
Shoulder
Arms

2

Aggravating factors of SIHD

Exertion
Emotional excitement
After heavy meals

3

Duration of anginal pain

2-10min
Pain that is fleeting or lasts for several hours is rarely anginal

4

Diff btw chest pain due to angina and ACS

ACS pain
At rest or awakens from sleep
Not relieved by nitrates
Prolonged
Associated symptoms

5

Cardiac syndrome X

Anginal pain
ST segment depression
Normal coronary arteriograms

6

Cause of pain in pericarditis

Inflammation of parietal pleura

7

Diseases affecting pericardium that cause pain

Infectious pericarditis(as it involves adjacent pleura)
No pain
Uremic pericarditis
Post MI pericarditis
Cardiac tamponade

8

Characteristics of pericardial pain

Shoulder,neck to abdomen and back
Worse in supine position
Relieved by sitting upright and leaning forward
Aggravated by coughing or deep respiratory movements

9

Aortic dissection in women under 40yrs of age occur during

Pregnancy

10

Pain of aortic dissection

Sharp,severe pain in chest and between shoulder blades

11

Pain of thoracic aortic aneurysm

Usually asymptomatic
But steady deep chest pain

12

Onset of peptic ulcer pain

60-90min after a meal

13

Dermatomal distribution of chest pain

Intercostal muscle spasm
Cervical disc disease
Herpes zoster

14

Most common cause of anterior chest musculoskeletal pain

Costochondral
Chondrosternal pain

15

ECG changes in emotional chest pain

Hyperventilation induced ST T wave abnormalities

16

Which has high likelihood of MI?
Radiation to rt or lt shoulder

Rt shoulder

17

Role of therapeutic trials with nitroglycerine and antacids in diagnosing MI?

MI cannot be ruled out

18

Lab test in aortic dissection

Elevated D dimer levels

19

Indications for chest X ray in chest pain cases

CCF
valvular heart disease
Aortic dissection
Pericardial disease
Aneurysm

20

Sensitivity of ECG in diagnosis of AMI

20-60%

21

Chest pain characteristics that have low likelihood ratio

Sharp,stabbing pain

22

Duration of cardiac chest pains

Stable Angina- 2 to 10 min
Unstable angina- 10 to 30 min
MI- more than 30min