Chest Pain Flashcards
(35 cards)
Most common causes of chest pain
Chest wall pain (20%), reflux esophagitis (13%), costochondritis (13%)
What causes chest wall pain?
Cough, subacute cough, vomiting, heavy lifting
Anything that causes شد عضلي بـ intercostal muscles
Findings of chest wall pain and costochondritis
Localized muscle tension, stinging pain, pain reproducible by palpation
Findings in reflux esophagitis
Burning retrosternal pain, acid regurgitation, sour or bitter taste, one week trial of PPI relieved symptoms
Findings in pneumonia
Fever, productive cough, rusty sputum, hx of URTI, hx of travel, contact with patients
If the pain is diffused, poorly localized, or retrosternal, we suspect..
MI
and PE
If the pain is localized over skin or superficial structures, such as costochondral jointsm and reproduced by palpation, we think of..
MSK pain
Costochondritis
Chest wall syndrome
If the pain is localized in less than three cm in the regoin of the left nipple, we think of..
Non cardiac pain
ie. MSK, psychogenic, gaseous distention of the stomach
If theain radiate to the medial aspect of the left arm/shoulder, right arm/should, or both arms, we think of..
MI
pericarditis
Cholecystitis (right shoulder)
If the pain radiates to the lower jaw, neck, or teeth, we think of…
MI
If the pain rafiates to the back, we think of…
Aortic dissection MI Thoracic aneurysm Pericarditis Esophageal disease Pancreatitis Peptic ulcer
Of the pain is relievd by sitting up and leaning forward, we think of..
Pericarditis
Pancreatitis
If the pain is relieved by holding the breath at deep expiration, we think of …
Pleuritis
Wells criteria is for diagnosing..
PE
Pneumothorax management is..
Needle decompression 2nd intercostal midclavicular line
Is cough an upper or lower respiratory symprom?
LOWER
Most common cause of acute cough is..
Post nasal drip( caused by viral URTI)
Most common causes of common cold are..
Rhinovirus, adenovirus, parainfluenza, and respiratory syncytial virus
IS the onset of symptoms in common cold sudden or gradual?
Gradual
When there is a dry cough we think of..
ACEI use
Most common causes of chronic cough in adults
ACEI use Asthma environmental triggers GERD Tobacco use Upper airway cough syndrome
Most common causes of chronic cough in children
Asthma protracted bacterial bronchitis
Upper airway cough syndrome (in older than six)
Chronic cough in children is defined as cough lasting more than…
Four weeks
Normal sputum amount
Less than 100 ml/day
