Chest pain & SOB Flashcards
(102 cards)
Algorithm?
Hx for PE?
Virchow’s triad (hypercoagulability, endothelial damage, stasis), Abrupt vs. subacute, possible syncope, “impending doom”
PE for pulm embolism?
Tachy-HR/RR, hypoxia/cyanosis, leg edema, calf pain, +/- R-sided CHF
Tests for PE?
Wells/PERC score, D-dimer, S1Q3T3, CXR (Fleischner - dilated central pulm artery, Westermark - clarified area from blocked vessel, Hampton - wedge shaped opacity), CTA
Tx for PE?
Coumadin, LMWH, Factor Xa inhibitors, admit vs D/C?
Causes of pleuritic CP & SOB (atraumatic)?
PE, Pneumothorax, Pneumonia, Pericarditis, Pleurisy
Causes of pleuritic CP & SOB (traumatic)?
Pericardial tamponade, pulmonary contusion, tension pneumo
Causes of reproducible CP?
Strain, costochondritis, fracture, infection, zoster
Causes of substernal CP?
MI/angina, dissecting TAA, GI, Pneumomediastinum, Mediastinitis
Causes of SOB?
Pericardial effusion, Pleural effusion, CHF, Asthma/COPD, Anemia, Anxiety, Sickle cell crisis, ARDS
Hx for pneumothorax?
PE for pneumothorax?
Tests for pneumothorax?
Rx for pneumothorax?
Hx for penumonia?
PE for pneumonia?
Tests for pneumonia?
Rx for pneumonia?
Hx for pericarditis?
PE for pericarditis?
Tests for pericarditis?
Rx for pericarditis?
Hx for pleurisy?
PE for pleurisy?