7 - chest pain

Question 1

Sx of somatic pain

Answer 1

• sharp
• well located
• correspond to dermatomes

Question 2

Sx of visceral pain

Answer 2

• poorly localized
• less distinct
• dull aching pressure

Question 3

initial mgmt of chest pain

Answer 3

ABC
O2
IV

Question 4

4 emergency causes of chest pain

Answer 4

1. CV - acute coronary syndrome
2. resp - PE or tension pneumo
3. mediastinitis - ruptured esophagus
4. arrhythmias

Question 5

*big 5 causes

Answer 5

1. MI
2. PE
3. aortic dissection
4. tension
5. eso rupture

Question 6

tests to be done and when

Answer 6

1. ECG - all with acute chest pain
2. cardiac markers
3. CXR looking for
   - PE
   - aortic dissection (wide mediastinum)
   - pneumothorax
   - pneumomediastinum
   - rib Fx
   CT thorax - see aortic root
   Echo - effusions, cardiac activity
   D-dimer - for PE

Question 7

who gets discharged too soon

Answer 7

• non white
• ## women