Chestpain Ddx
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Transcript of Chestpain Ddx
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7/31/2019 Chestpain Ddx
1/2
1. 1/3 of these patients have
normal coronary arteries
Variant/Prinzmetal angina
2. Accompanied by N&V,
diaphoresis, and SOB
Acute MI
3. Acute onset of pain, SOB,
decreased breath sounds,and subtle edge on CXR
Pneumothorax
4. Acute onset of severe,
tearing pain
Aortic dissection
5. Angina at rest due to
unstable plaque or
vasoconstriction
Unstable angina
6. Aortic regurg murmur Proximal aortic dissection
7. Associated with anterior
MIs
Mobitz Type II, complete heart
block
8. Associated with inferior
MIs
Bradycardia, first-degree AV
blocks, Mobitz Type I
9. Beck's Triad Pericardial Tamponade
10. Burning pain with acid
taste
GERD/dyspepsia
11. Can lead to mediastinitis Esophageal Rupture
(Boorhave's syndrome)
12. Cardiac risk factors DASH SHTS - DM, Age > 40,
Sex, HTN, Smoker,
Hypercholesterolemia, Truncal
obesity, Sedentary lifestyle
13. Cause of stable angina Plaque rupture and thrombosis,vasoconstriction
14. Chest pain at rest Unstable angina,
Variant/Prinzmetal angina
15. Chest pain at rest due to
vessel spasm
Variant/Prinzmetal angina
16. Components of Beck's
Triad
Hypotension, JVD,
Distant/muffled heart sounds
17. Constant retrosternal
pain that is worse with
lying flat and relieved by
sitting forward
Pericarditis
18. Decreased distal pulses
or neurologic findings
Distal aortic dissection
19. Decreases heart's oxygen
demand
BB
20. Decreases mortality ASA, ACE-I, BB, NTG
21. Don't give this drug with
CHF or PVD
BB
22. Don't use this drug with
inferior MI
Morphine
23. Don't use this drug with RV
infarction
NTG
24. Due to inadequate perfusion of
the myocardium
Unstable angina
25. EKG findings for RV infarction ST elevation in V4 on
right-sided EKG26. Exertional and relieved with
sublingual NTG
Stable angina
27. Friction rub Pericarditis
28. Improves GERD/dyspepsia Antacids / GI cocktails
29. Inverted T wave in lead 3 Pulmonary embolus
30. Lavigne's sign Clutching chest
31. Location of HZ (shingles) Thoracic
32. Main utility of EKG Detect MI
33. May be worse after meals GERD/dyspepsia
34. May present with pain before a
rash develops
HZ (shingles)
35. Med that relaxes smooth muscle NTG
36. MEDICAL EMERGENCY Esophageal Rupture
(Boorhave's syndrome)
37. Platelet response to a rupture Adhesion, activation,
aggregation
38. Pneumonia: gradual or acute
onset of pain?
Gradual
39. Positional or pleuritic chest pain Pericardial
Tamponade
40. PR depressions Pericarditis
41. Prodrome that women often
present with for one month prior
to MI
Fatigue, difficulty
sleeping, SOB
42. Q wave in lead 3 Pulmonary embolus
43. Reduces LV dysfunction ACE-I
44. RUQ pain Cholecystitis
45.
Sinus tachycardia on EKG withevidence of right heart strain Pulmonary embolus
46. Sites where fibrinogen connects
and allow platelets to aggregate
Glycoprotein IIb/IIIa
receptors
47. ST elevations STEMI,
Variant/Prinzmetal
angina, Pericarditis
48. State between stable angina and
MI
Unstable angina
49. Symptoms with inferior MI Abdominal pain, N&V
Chest PainStudy online at quizlet.com/_5og0d
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7/31/2019 Chestpain Ddx
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50. T wave inversions Pericarditis, Pulmonary Embolus
51. Tachycardia Pericardial Tamponade
52. Treatment for anxiety attack SSRIs, NERIs
53. Two components of Acute Coronary Syndrome Unstable angina, MI
54. Two most frequently missed MIs Posterior, high lateral
55. Vasodilatory NTG, CCB
56. What drug should you give for CHF? ACE-I
57. What should you not give to a pt who uses cocaine? Beta Blocker
58. When is oxygen not needed? Not hypoxic, admitted, pain-free