Differentials for acute presentations - Chest Pain Flashcards Preview

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Flashcards in Differentials for acute presentations - Chest Pain Deck (16):
1

 

 

What are life threatening causes of Chest Pain which are important to exclude?

 

  • ACS
  • PE
  • Pneumothorax
  • Aortic dissection
  • Pneumonia

2

 

 

How would you approach exploring chest pain as a symptom?

 

 

SOCRATES

 

3

 

 

What are important parts of a systems review in someone with chest pain?

 

  • How patient feels
  • Fever/clammy
  • Cardioresp - SOB, Wheeze, Cough,  sputum, leg swelling

4

 

 

What is important to ask about in PMH in someone with chest pain?

 

  • Previous medical conditions
  • Happened before
  • Cardiovascular risk factors - Diabetes, smoking, hypercholesterolaemia, hypertension, previous MI/stroke, AF

5

 

 

What is important to ask about in the family history in someone with acute chest pain?

 

 

Cardiovascular events in close family

6

 

 

What would you ask about in social history in someone with acute chest pain?

 

  • Smoking
  • Alcohol
  • Long-haul travel

7

 

 

What would you look for on examination in someone with acute chest pain?

 

  • Tracheal deviation + JVP
  • Inspect chest
  • Expansion
  • Apex, heaves
  • Percusss
  • Auscultate heart/lungs
  • Legs - swelling/oedema/tenderness

8

 

 

What bloods would you consider doing in someone with acute chest pain?

 

  • FBC
  • CRP
  • U+E's
  • Troponin - STAT and 12 hours after

9

 

 

What imaging would you consider in someone with acute chest pain?

 

  • CXR
  • CTPA
  • CT angiography

10

 

 

What bedside tests would you consider doing in someone with acute chest pain?

 

  • NEWS
  • ECG

11

 

 

What structured approach would you consider doing in someone with acute chest pain to help think about what investigations you could do?

 

  • Bloods/Bedside
  • Orifices
  • X-ray/Imaging
  • ECG
  • Specific tests

12

 

 

What are cardiac causes of chest pain?

  • ACS
  • Pericarditis
  • Myocarditis
  • Aortic dissection
  • Stable angina
  • Tamponade
  • Mitral valve prolapse
  • Pulmonary hypertension
  • Aortic stenosis
  • Arrythmias

13

 

 

What are respiratory causes of chest pain?

 

  • PE
  • Pneumothorax
  • Pneumonia
  • Empyema
  • Pleurisy

14

 

 

What are gastrointestinal causes of chest pain?

 

  • GORD
  • Oesophageal spasm
  • Gastritis
  • Peptic ulcer disease
  • Acute cholecystitis
  • Pancreatitis

15

 

 

What are MSK causes of acute chest pain?

 

  • General MSK pain
  • Costochondritis
  • Tietze syndrome
  • Fibromyalgia

16

 

 

What psychiatric conditions can cause chest pain?

 

 

Anxiety/panic attack