Chest Pain Flashcards
1
Q
Differentials:
A
SAM CAP PG
- Stable angina
- Myocardinal infarction
- Costochondritis
- Pericarditis (infection, post MI)
- Acute coronary syndrome
- GERD
- Pulmonary embolism
- Aortic dissection
2
Q
Stable angina
A
- central chest pain
- worse with exertion
- better at rest
- Hx HTN
- SOB
3
Q
MI
A
- squeezing chest pain
- radiates to left arm
- Hx HTN, hyperlipidemia and/or smoking
- SOB
4
Q
Costochondritis
A
- stabbing chest pain
- worse with inspiration aka. PLEURITIC pain
- chest wall tenderness
- aspirin makes it better
- acute onset
5
Q
Pericarditis
A
- stabbing pain aka. PLEURITIC (worse with inspiration)
- better when leaning forward, worse when lying down
- SOB
- radiate to neck and shoulders
6
Q
Acute coronary syndrome
A
- acute onset
- SOB
- pain radiates to left shoulder
7
Q
GERD
A
- burning sensation
- occurs with heavy meals
- worse when lying down
- antacids help
8
Q
Pulmonary embolism
A
- acute onset
- SOB at rest
- Pleuritic chest pain
- fever
- recent travel or surgery
9
Q
Aortic dissection
A
- sudden severe pain
- radiates to back
- syncope
- Hx uncontrolled HTN
10
Q
Relevant exam:
A
CVS
11
Q
CVS Exam
A
JVP CP inspect precordium Palpation Auscultation
12
Q
Additional exam
A
- BP, HR, RR
2. pedal edema or ascultate lung bases
13
Q
Plan
A
EKG ECG Cardiac enzymes Angiography D-dimer if embolism
