1. Chest Pain - causes of chest pain

Question 1

What is the most important diagnosis to make from chest pain

Answer 1

Myocardial ischemia

Question 2

If you can rule out chest pain then what are the main non-cardiovascular causes

Answer 2

upper GI
respiratory
musculoskeletal

Question 3

What are the cardiac causes of chest pain that lead to myocardial ischemia

Answer 3

aortic stenosis 
hypertrophic cardiomyopathy (HOCM)
Tachyarrhythmias (Vtac supra Vtac) 
Cocaine use 
anemia 
thyrotoxicosis

Question 4

What are the cardiovascular non-ischemic causes of chest pain

Answer 4

aortic dissection

pericarditis

Question 5

What are some upper GI causes of chest pain

Answer 5

GORD
Gallstones
peptic ulcer
pancreatitis

Question 6

what are some respiratory causes of chest pain

Answer 6

pulmonary embolism
pneumothorax
pneumonia
pleurisy (inflammation of the pleural space causes by a viral infection)

Question 7

What are some musculoskeletal causes of chest pain

Answer 7

Costochondritis (pain at junction of ribs)

herpes zoster or shingles (before the rash comes out)

Question 8

SOCRATES for chest pain ;
What conditions would show the following symptoms

S: diffuse pain that is poorly localised

Answer 8

visceral pain that comes from internal organs

Question 9

SOCRATES for chest pain ;
What conditions would show the following symptoms

S: well localised pain

Answer 9

somatic pain that comes from the musculoskeletal system

Question 10

SOCRATES for chest pain ;
What conditions would show the following symptoms

O: sudden onset of chest pain

Answer 10

pulmonary embolism

Question 11

SOCRATES for chest pain ;
What 2 conditions would show the following symptoms

C: pressure feels heavy and tight

Answer 11

acute coronary syndrome (ACS)

GORD

Question 12

SOCRATES for chest pain ;
What conditions would show the following symptoms

C: indigestion/belching

Answer 12

ACS

GORD

Question 13

SOCRATES for chest pain ;
What conditions would show the following symptoms

C: severe ripping pain

Answer 13

aortic dissection

Question 14

SOCRATES for chest pain ;
What conditions would show the following symptoms

C: sharp, stabbing pain

Answer 14

pleuritic pain

musculoskeletal pain

Question 15

SOCRATES for chest pain ;
What conditions would show the following symptoms

Radiation to left arm, both arms, jaw or neck

Answer 15

ACS

Question 16

SOCRATES for chest pain ;
What conditions would show the following symptoms

radiation to right shoulder

Answer 16

Cholecystitis- inflammation of gallbladder and radiates to nerves of the diaphragm (gallstones)

Question 17

SOCRATES for chest pain ;
What conditions would show the following symptoms

radiation to the back ie interscapular

Answer 17

aortic dissection 
GORD
Pancreatitis 
peptic ulcer
ACS

Question 18

SOCRATES for chest pain ;
What conditions would show the following symptoms

Radiation to the epigastrium

Answer 18

Pancreatitis
peptic ulcer
gallstones
ACS

Question 19

SOCRATES for chest pain ;
What conditions would show the following symptoms

Associated features: nausea and vomiting

Answer 19

ACS

Upper GI pathology

Question 20

SOCRATES for chest pain ;
What conditions would show the following symptoms

A: sweaty, clammy

Answer 20

ACS
PE
aortic dissection

Question 21

SOCRATES for chest pain ;
What conditions would show the following symptoms

A: SOB

Answer 21

ACS

respiratory causes

Question 22

SOCRATES for chest pain ;
What conditions would show the following symptoms

A: hypotension/syncope (passing out)

Answer 22

PE
ACS
aortic stenosis

Question 23

SOCRATES for chest pain ;
What conditions would show the following symptoms

Timing of seconds

Answer 23

musculoskeletal, non-cardiac

Question 24

SOCRATES for chest pain ;
What conditions would show the following symptoms

timing of minutes

Answer 24

ACS
GORD
musculoskeletal

Question 25

SOCRATES for chest pain ; What conditions would show the following symptoms timing of hours

Answer 25

ALL

Question 26

SOCRATES for chest pain ; What conditions would show the following symptoms timing of days

Answer 26

dull persistent pain- defo not ACS

Question 27

SOCRATES for chest pain ; What conditions would show the following symptoms E: Exertion, emotion

Answer 27

Angina

Question 28

SOCRATES for chest pain ; What conditions would show the following symptoms E: Eating

Answer 28

ACS GORD peptic ulcer

Question 29

SOCRATES for chest pain ; What conditions would show the following symptoms E:positional

Answer 29

pericarditis GORD musculoskeletal Pancreatitis

Question 30

Which condition is being described here in when describing the chest pain using SOCRATES: R: to the back or epigastrium E: positional change makes it worse

Answer 30

Pancreatitis

Question 31

Which condition is being described here in when describing the chest pain using SOCRATES: O: sudden onset A: sweaty, clammy as well as hypotension/syncope (passing out) and SOB

Answer 31

Pulmonary embolism

Question 32

Which condition is being described here in when describing the chest pain using SOCRATES: Radiating pain to the right shoulder

Answer 32

Cholecystitis- inflammation of gallbladder and radiates to nerves of the diaphragm (gallstones)

Question 33

Which condition is being described here in when describing the chest pain using SOCRATES: C: pressuure is heavy and tight, indigestion/belching R: Radiation to the back E: eating and also postional changes

Answer 33

GORD

Question 34

Which condition is being described here in when describing the chest pain using SOCRATES: central chest pain that doesn't radiate E: pain on exertion or extreme emotion

Answer 34

angina

Question 35

Which condition is being described here in when describing the chest pain using SOCRATES: C: severe ripping pain R: radiates to the back

Answer 35

Aortic dissection

Question 36

Which condition is being described here in when describing the chest pain using SOCRATES: R: radiates to either the back or epigsatrium E: when eating

Answer 36

Peptic ulcer

Question 37

Which condition is being described here in when describing the chest pain using SOCRATES: C: pressure is heavy and tiight, indigestion and belching R: left arm, both arms, jaw, neck. Also to the back and epigastrium A: nausea, sweaty and clammy, SOB, hypotension T: minutes E: eating,

Answer 37

ACS