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OCSE Stop > PC: Chest Pain > Flashcards

PC: Chest Pain Flashcards

1
Q

how can you explore the symptom of chest pain

A

using socrates

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2
Q

what does socrates stand for

A 
site 
onset 
character
radiation 
associated symptoms 
timing 
exacerbating/ relieving symptoms 
severity
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3
Q

what relevant systems review questions could you ask

A

general: fever, sweats
Cardiorespiratory: palpitations, SOB/wheeze, cough, sputum, leg swelling
asking about mental health.

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4
Q

name some of the main cardiac differentials

A

MI
angina
aortic dissection
pericarditis

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5
Q

name some respiratory differentials

A

pulmonary embolism
pneumothorax
pneumonia

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6
Q

name some non cardiorespiratory differentials

A

GORD
anxiety, panic attack
MSK / costochondritis
gastritis

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7
Q

what clues/symptoms help you to differentiate an MI

A

crushing central chest pain
radiates to neck/left arm
associated nausea/vomiting SOB
cardiovascular risk factors

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8
Q

name some cardiovascular risk factors

A 
smoking 
diabetes
HTN 
high cholesterol 
obesity 
increasing age 
male gender 
family history
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9
Q

what clues/symptoms help you to differentiate angina

A

cardiac type chest pain
associated with exertion
received by rest

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10
Q

what clues/symptoms help you to differentiate aortic dissection

A

tearing chest pain of very sudden onset
radiates to the back
pain in other sites like arms, leg, neck and head

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11
Q

what clues/symptoms help you to differentiate pericarditis

A

retrosternal/precordial pleuritic Chest Pain
received by sitting forward
may radiation to trapezius ridge/neck/shoulder

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12
Q

what clues/symptoms help you to differentiate pulmonary embolism

A

pleuritic chest tpain
Haemoptysis and SOB
risk factors (immobility, recent surgery, long haul flight)

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13
Q

what clues/symptoms help you to differentiate pneumothorax

A

sudden onset pleuritic chest pain
may be SOB if large
risk factors ie Marfans’s syndrome
COPD/asthma

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14
Q

what clues/symptoms help you to differentiate GORD

A

retrosternal burning chest pain
related to meals, lying, straining
water brash (lots of saliva)

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15
Q

what clues/symptoms help you to differentiate anxiety/panic attack

A

tight chest pain, SOB, sweating, dizziness, palpitations, feelings of impending doom
anxious personality and other symptoms of generalised anxiety disorder
recurrent episodes triggered by a stimulus

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16
Q

what clues/symptoms help you to differentiate MSK

A

sharp chest pain
exacerbated by movement or inspiration
can point to where it is worse
exacerbated boy pressure over the area

17
Q 
what condition are these classically symptoms of:
crushing central chest pain 
radiates to neck/left arm 
associated nausea/vomiting SOB
cardiovascular risk factors
A

MI

18
Q

what condition are these classically symptoms of:
cardiac type chest pain
associated with exertion
received by rest

A

angina

19
Q

what condition are these classically symptoms of:
tearing chest pain of very sudden onset
radiates to the back
pain in other sites like arms, leg, neck and head

A

aortic dissection

20
Q

what condition are these classically symptoms of:
retrosternal/precordial pleuritic Chest Pain
received by sitting forward
may radiation to trapezius ridge/neck/shoulder

A

pericarditis

21
Q

what condition are these classically symptoms of:

pleuritic chest tpain
Haemoptysis and SOB
risk factors (immobility, recent surgery, long haul flight)

A

pulmonary embolism

22
Q

what condition are these classically symptoms of:

sudden onset pleuritic chest pain
may be SOB if large
risk factors ie Marfans’s syndrome
COPD/asthma

A

pneumothorax

23
Q

what condition are these classically symptoms of:
retrosternal burning chest pain
related to meals, lying, straining
water brash (lots of saliva)

A

GORD

24
Q

what condition are these classically symptoms of:

sharp chest pain
exacerbated by movement or inspiration
can point to where it is worse
exacerbated boy pressure over the area

A

MSK

25
Q

what condition are these classically symptoms of:

tight chest pain, SOB, sweating, dizziness, palpitations, feelings of impending doom
anxious personality and other symptoms of generalised anxiety disorder
recurrent episodes triggered by a stimulus

A

anxiety

OCSE Stop (12 decks)

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