CP Buzzwords

Question 1

ST segment elevation only during brief episodes of chest pain

Answer 1

Prinzmetal angina

Question 2

Pt able to point to localize chest pain using one finger

Answer 2

Musculoskeletal chest pain

Question 3

Chest wall tenderness on palpation

Answer 3

Musculoskeletal CP

Question 4

Rapid onset sharp chest pain that radiates to scapula

Answer 4

Aortic dissection

Question 5

Rapid onset sharp pain in 20 yo and associated dyspnea

Answer 5

Spontaneous pneumothorax

-no left shift of mediastinum, not full lung collapse

Question 6

Occurs after heavy meals and improved by antacids

Answer 6

GERD
Esophageal spasm – relieved w/nitro too
-tx: GI cocktail w/ lido for sx

Question 7

Sharp pain lasting hours-days and is somewhat relieved by sitting forward

Answer 7

Pericarditis

Question 8

Pain made worse by deep breathing and/or motion

Answer 8

Pleurisy

Musculoskeletal pain

Question 9

Chest pain in dermatomal distribution

Answer 9

Herpes zoster virus

Question 10

Most common cause of non-cardiac chest pain

Answer 10

GERD or musculoskeletal pain