[chest pain∆∆]: Flashcards Preview

OSCE: ∆∆ for focussed Hx > [chest pain∆∆]: > Flashcards

Flashcards in [chest pain∆∆]: Deck (18)
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1
Q
A
Angina 
STEMI
NSTEMI
Oesophagitis/oesophageal spasm
Pulmonary infarction (embolus/right atrial spasm)
Pneumothorax
Dissecting thoracic aortic aneurysm
Chest wall pain
2
Q
A
  1. Angina is intermittent & N/STEMIs are continuous

2. Angina is relieved by rest or GTN cf. N/STEMIs

3
Q
A
  1. No rise in troponin after 12 hours

2. No ST change on serial ECG

4
Q
A

endoscopy

5
Q
A

Worse on lying down
Worse on alcohol, NSAIDs, food.
Relieved by antacids

6
Q
A

Cyanosis/hypoxia
sudden breathlessness
pleural rub
risk factor for DVT/PE

7
Q
A

CTPA

8
Q
A

Acute breathlessness

Pain in chest/one side of chest

9
Q
A

Reduced breath sounds

Hyperresonance

10
Q
A

EXPIRATORY CXR

11
Q
A

‘tearing’ pain radiating to the back

12
Q
A

absent/reduced peripheral pulses
Early diastolic murmur
widened mediastinum on CXR

13
Q
A

loss of a single clear aortic lumen on CT or MRI

14
Q
A

Tietzes syndrome (localised costochondritis)

15
Q
A

pain/tenderness on twisting of the neck or thoracic cage.

16
Q
A

pain (+- radiation) not releived by rest/nitrates

continuous

17
Q
A

Elevated ST segment by 1mm in limb or 2mm in chest leads ON SERIAL ECGs

18
Q
A

Depressed or normal ST or T segment

Raised troponin after 6 or 12 hours