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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
character of musculo-skeletal chest pain ?
* dull ache * twinges * sharp * stabbing
26
musculo-skeletal chest pain aggravated by ?
* movement * use of the arm * breathing
27
musculo-skeletal chest pain relieved by ?
analgesia
28
duration of musculo-skeletal chest pain ?
hrs to days or sec
29
associated features of musculo-skeletal chest pain ?
localised tenderness
30
site of gastro-oesophageal reflux chest pain ?
* epigastric * low sternal * throat * retro-sternal
31
radiation of gastro-oesophageal reflux chest pain ?
* interscapular * throat
32
character of gastro-oesophageal reflux chest pain ?
* burning * tight * heavy
33
gastro-oesophageal reflux chest pain aggravated/induced by ?
* food * exercise
34
gastro-oesophageal reflux chest pain relieved by ?
GTN antacids
35
duration of gastro-oesophageal reflux chest pain ?
hrs
36
associated features of gastro-oesophageal reflux chest pain ?
* water brash ? * reflux
37
site of pulmonary embolism chest pain ?
central chest retro-sternal
38
radiation of pulmonary embolism chest pain ?
localised
39
character of pulmonary embolism chest pain ?
* sharp * stabbing * pleuritic
40
pulmonary embolism chest pain aggravated by ?
breathing
41
pulmonary embolism chest pain relieved by ?
analgesia
42
duration of pulmonary embolism chest pain ?
mins to hrs
43
associated features of of pulmonary embolism chest pain ?
* SOB * tachycardia * low SpO2 * hypotension
44
Site of pneumonia chest pain ?
over lung fields
45
radiation of pneumonia chest pain ?
localised shoulders
46
character of pneumonia chest pain ?
* sharp * stabbing pleuritic
47
pneumonia chest pain aggravated by ?
breathing
48
pneumonia chest pain relieved by?
analgesia
49
duration of pneumonia chest pain ?
mins to hrs
50
associated features of pneumonia chest pain ?
* SOB * tachycardia * low SpO2 * fever
51
site of pneumothorax chest pain ?
over lung fields
52
radiation of of pneumothorax chest pain ?
* localised * shoulders
53
character of pneumothorax chest pain ?
* sharp * stabbing * pleuritic
54
pneumothorax chest pain aggravated by?
breathing
55
pneumothorax chest pain relieved by?
analgesia
56
duration of pneumothorax chest pain ?
? not mentioned in table !
57
associated features of pneumothorax chest pain ?
* SOB * tachycardia * low Spo2

T3 CVS (11 decks)

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