Chest pain Flashcards

(29 cards)

1
Q

describe location & radiation of chest pain in stable angina

A
  • central

- arm/jaw

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2
Q

is the pain in stable angina related to food

A

no

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3
Q

what can bring on and relieve the pain in stable angina

A
  • exercise –> pain

- rest –> relief

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4
Q

no relief upon using GTN spray and pain lasting ___ indicates stable angina

A

> 20min

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5
Q

describe location of pain due to GORD

A

retrosternal burning sensation

patient fist against sternum

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6
Q

exacerbating factors in GORD

A
  • lying flat
  • after eating large meals
  • bending forward
  • straining
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7
Q

relieving factors in GORD

A
  • swallowing saliva, water

- antacids

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8
Q

associations of GORD

A
  • regurgitation

- sour taste

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9
Q

describe location & character of musculoskeletal pain

A
  • localised, superficial pleuritic
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10
Q

signs of pneumonia

A
  • cough
  • purulent sputum
  • general malaise
  • fever
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11
Q

character of chest pain in pneumonia

A
  • pleuritic
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12
Q

symptoms associated with pneumonia

A
  • haemoptysis
  • wheezing
  • SOB
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13
Q

description & radiation of ACS pain

A
  • sudden severe
  • crushing
  • arm/jaw
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14
Q

associated symptoms with ACS

A
  • breathlessness
  • nausea
  • vomiting
  • sweating
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15
Q

description of pain onset & severity & location in aortic dissection

A
  • sudden
  • severe tearing
  • between shoulder blades
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16
Q

history info that makes you suspect dissection

A
  • recent trauma
  • hptn
  • Ehler-Danlos/Marfan syndrome
17
Q

what causes the 2ry symptoms of aortic dissection

A

interruption of blood supply

18
Q

onset & character of PE/tension pneumothorax pain

A
  • sudden

- pleuritic

19
Q

PE pain associated symptoms

A
  • SOB
  • fever
  • haemoptysis
20
Q

PE history pieces (think DVT)

A

swollen, hot, tender leg unilaterally

21
Q

tension pneumo associated symptom

22
Q

tension pneumothorax history pieces

A
  • lung disease
  • marfan syndrome
  • chest trauma
23
Q

chest pain description & location in pericarditis

A
  • pleuritic

- retrosternal

24
Q

what is the pain in pericarditis aggravated by

25
alleviating factors in pericarditis pain
- sitting forward | - lying flat
26
if chest pain is worse on exertion what is he most likely diagnosis
angina
27
if chest pain is worse on lying down what is the most likely diagnosis
GORD
28
chest tenderness can be found in what type of conditions
musculoskeletal
29
distinction between costochondritis and Tietze's syndrome
palpable swelling