Chest pn and syncope

Question 1

thrombosis of superifical V’s

causes: pn in the anterior chest

Answer 1

monor’s sx

Question 2

ddx btw Tieze’s sx and costochondritis

Answer 2

tieze:
- unilateral
- dx: bring shoulders forward
- upper ribs

Costochondritits:

• bilateral
• bring shoulders back

Question 3

___: can minic angina

• causes chest pain
• responds to Nitro

Answer 3

GERD

pain after eating

Question 4

exertion related and lasts for less than 10 min

• depressed ST segment on ECG
• negative for enzymes (C-reactive protein and CK)

Answer 4

stable angina

cause: athrosclerosis

Question 5

• angina that lasts longer than 10 min
• nitro usually helps
• • depressed or elevated ST segment
• Enzymes: C-reactive protein
• occurs at rest

Answer 5

Prinzmental (unstable)

Question 6

substernal pn that builds up over a few minutes and last for 30 mins

• nitrates dont work

PE:

• arrythmia
• adventitious respiratory sounds

Labs:

• elevated CK-MB within 12-24 hrs
• troponin T
• Troponin 1

Answer 6

MI

Question 7

LOC for less that 1 min

cause: emotion, frightened
s/s: sweating, light headed, queasiness

Answer 7

vasovagal syncope

epileptic: 5-15 min

Question 8

difference in 20/10 mmHg during standing vs. sitting

Answer 8

orthostatic hypotension

hx of: adrenal dz

• DM
• meds

Question 9

___ sx: tight collars or turning head to one side will cause a drop in BP

Answer 9

carotid sinus sx

Question 10

exertion related chest pn and syncope
- sudden death in young athletes

auscultation: pt preforms valsalva–> pick up hard heart sound

Answer 10

hyperventilation/ cardiomyopathy

nonfunctional ventricular wall enlargement