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Medicine Y3 TCD 1-12 > 1. Chest Pain - causes of chest pain > Flashcards

1. Chest Pain - causes of chest pain Flashcards

1
Q

What is the most important diagnosis to make from chest pain

A

Myocardial ischemia

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2
Q

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

A

upper GI
respiratory
musculoskeletal

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3
Q

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

A 
aortic stenosis 
hypertrophic cardiomyopathy (HOCM)
Tachyarrhythmias (Vtac supra Vtac) 
Cocaine use 
anemia 
thyrotoxicosis
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4
Q

What are the cardiovascular non-ischemic causes of chest pain

A

aortic dissection

pericarditis

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5
Q

What are some upper GI causes of chest pain

A

GORD
Gallstones
peptic ulcer
pancreatitis

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6
Q

what are some respiratory causes of chest pain

A

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

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7
Q

What are some musculoskeletal causes of chest pain

A

Costochondritis (pain at junction of ribs)

herpes zoster or shingles (before the rash comes out)

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8
Q

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

S: diffuse pain that is poorly localised

A

visceral pain that comes from internal organs

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9
Q

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

S: well localised pain

A

somatic pain that comes from the musculoskeletal system

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10
Q

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

O: sudden onset of chest pain

A

pulmonary embolism

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11
Q

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

C: pressure feels heavy and tight

A

acute coronary syndrome (ACS)

GORD

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12
Q

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

C: indigestion/belching

A

ACS

GORD

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13
Q

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

C: severe ripping pain

A

aortic dissection

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14
Q

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

C: sharp, stabbing pain

A

pleuritic pain

musculoskeletal pain

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15
Q

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

Radiation to left arm, both arms, jaw or neck

A

ACS

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16
Q

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

radiation to right shoulder

A

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

17
Q

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

radiation to the back ie interscapular

A 
aortic dissection 
GORD
Pancreatitis 
peptic ulcer
ACS
18
Q

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

Radiation to the epigastrium

A

Pancreatitis
peptic ulcer
gallstones
ACS

19
Q

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

Associated features: nausea and vomiting

A

ACS

Upper GI pathology

20
Q

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

A: sweaty, clammy

A

ACS
PE
aortic dissection

21
Q

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

A: SOB

A

ACS

respiratory causes

22
Q

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

A: hypotension/syncope (passing out)

A

PE
ACS
aortic stenosis

23
Q

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

Timing of seconds

A

musculoskeletal, non-cardiac

24
Q

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

timing of minutes

A

ACS
GORD
musculoskeletal

25
Q

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

timing of hours

A

ALL

26
Q

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

timing of days

A

dull persistent pain- defo not ACS

27
Q

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

E: Exertion, emotion

A

Angina

28
Q

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

E: Eating

A

ACS
GORD
peptic ulcer

29
Q

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

E:positional

A

pericarditis
GORD
musculoskeletal
Pancreatitis

30
Q

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

A

Pancreatitis

31
Q

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

A

Pulmonary embolism

32
Q

Which condition is being described here in when describing the chest pain using SOCRATES:

Radiating pain to the right shoulder

A

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

33
Q

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

A

GORD

34
Q

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

A

angina

35
Q

Which condition is being described here in when describing the chest pain using SOCRATES:

C: severe ripping pain
R: radiates to the back

A

Aortic dissection

36
Q

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

A

Peptic ulcer

37
Q

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,

A

ACS

Medicine Y3 TCD 1-12 (30 decks)

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