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T3 CVS > 9 Chest pain - differential diagnosis! > Flashcards

9 Chest pain - differential diagnosis! Flashcards

1
Q

Name the 8 chest pains to know SQITARS for !

A
  • angina / MI
  • pericarditis
  • aortic dissection
  • musculo-skeletal
  • gastro-oesophageal reflux
  • pulmonary embolism
  • pneumonia
  • pneumothorax
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2
Q

site of angina / MI pain ?

A

central, retrosternal, throat, epigastric

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3
Q

radiation of angina / MI pain ?

A

arms (L>R), throat , neck

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4
Q

character of angina / MI pain ?

A

heavy, tight, band, crushing, constricting, pressure, burning

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5
Q

aggravates angina / MI pain ?

A

Physical or emotional stress

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6
Q

relief of angina / MI pain ?

A

rest
GTN

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7
Q

duration of angina / MI pain ?

A

mins

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8
Q

associated features of angina / MI pain ?

A

sweating, SOB, lightheaded, nausea, anxiety

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9
Q

site of pericarditis pain ?

A

central chest, retrosternal

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10
Q

pericarditis pain radiates to ?

A

interscapular

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11
Q

character of pericarditis pain ?

A

sharp, stabbing, dull ache, pleuritic

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12
Q

pericarditis pain aggravated by ?

A

supine , breathing

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13
Q

pericarditis pain relieved by ?

A

sitting up

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14
Q

duration of pericarditis pain ?

A

mins to hrs

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15
Q

associated features of pericarditis pain ?

A
  • fever
  • viral illness
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16
Q

site of aortic dissection ?

A
  • central chest
  • retrosternal
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17
Q

aortic dissection pain radiates to ?

A

interscapular

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18
Q

character of aortic dissection pain ?

A
  • sudden
  • tearing
  • sharp
  • ? pleuritic
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19
Q

aortic dissection pain aggravated by ?

A
  • strain
  • sudden severe exercise
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20
Q

aortic dissection pain relieved by ?

A

spont ?

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21
Q

duration of aortic dissection pain ?

A

mins to hrs

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22
Q

associated features of aortic dissection pain ?

A
  • sweating
  • SOB
  • lightheaded
  • nausea
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23
Q

site of musculo-skeletal chest pain ?

A

anywhere in chest, often parasternal

24
Q

radiation of musculo-skeletal chest pain ?

A
  • localised
  • shoulders
  • spine
  • back
25
Q

character of musculo-skeletal chest pain ?

A
  • dull ache
  • twinges
  • sharp
  • stabbing
26
Q

musculo-skeletal chest pain aggravated by ?

A
  • movement
  • use of the arm
  • breathing
27
Q

musculo-skeletal chest pain relieved by ?

A

analgesia

28
Q

duration of musculo-skeletal chest pain ?

A

hrs to days or sec

29
Q

associated features of musculo-skeletal chest pain ?

A

localised tenderness

30
Q

site of gastro-oesophageal reflux chest pain ?

A
  • epigastric
  • low sternal
  • throat
  • retro-sternal
31
Q

radiation of gastro-oesophageal reflux chest pain ?

A
  • interscapular
  • throat
32
Q

character of gastro-oesophageal reflux chest pain ?

A
  • burning
  • tight
  • heavy
33
Q

gastro-oesophageal reflux chest pain aggravated/induced by ?

A
  • food
  • exercise
34
Q

gastro-oesophageal reflux chest pain relieved by ?

A

GTN
antacids

35
Q

duration of gastro-oesophageal reflux chest pain ?

A

hrs

36
Q

associated features of gastro-oesophageal reflux chest pain ?

A
  • water brash ?
  • reflux
37
Q

site of pulmonary embolism chest pain ?

A

central chest
retro-sternal

38
Q

radiation of pulmonary embolism chest pain ?

A

localised

39
Q

character of pulmonary embolism chest pain ?

A
  • sharp
  • stabbing
  • pleuritic
40
Q

pulmonary embolism chest pain aggravated by ?

A

breathing

41
Q

pulmonary embolism chest pain relieved by ?

A

analgesia

42
Q

duration of pulmonary embolism chest pain ?

A

mins to hrs

43
Q

associated features of of pulmonary embolism chest pain ?

A
  • SOB
  • tachycardia
  • low SpO2
  • hypotension
44
Q

Site of pneumonia chest pain ?

A

over lung fields

45
Q

radiation of pneumonia chest pain ?

A

localised
shoulders

46
Q

character of pneumonia chest pain ?

A
  • sharp
  • stabbing pleuritic
47
Q

pneumonia chest pain aggravated by ?

A

breathing

48
Q

pneumonia chest pain relieved by?

A

analgesia

49
Q

duration of pneumonia chest pain ?

A

mins to hrs

50
Q

associated features of pneumonia chest pain ?

A
  • SOB
  • tachycardia
  • low SpO2
  • fever
51
Q

site of pneumothorax chest pain ?

A

over lung fields

52
Q

radiation of of pneumothorax chest pain ?

A
  • localised
  • shoulders
53
Q

character of pneumothorax chest pain ?

A
  • sharp
  • stabbing
  • pleuritic
54
Q

pneumothorax chest pain aggravated by?

A

breathing

55
Q

pneumothorax chest pain relieved by?

A

analgesia

56
Q

duration of pneumothorax chest pain ?

A

? not mentioned in table !

57
Q

associated features of pneumothorax chest pain ?

A
  • SOB
  • tachycardia
  • low Spo2

T3 CVS (11 decks)

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