ACS Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

How CP works

A

Visceral pain from vessels or organs
Afferent sensations enter the spinal cord from multiple levels
Poorly localized: chest, arm, back, neck, jaw
Poorly described: ache, heavy, tight, burn, pain

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2
Q

Heart causes of CP

A

Acute coronary syndrome

Pericarditis

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3
Q

Lung causes of CP

A

Pleurisy
PE
Pneumothorax
Pneumonia

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4
Q

Vessel causes of CP

A

Aortic dissection

Aortic aneurysm

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5
Q

GI causes of CP

A

GERD
Esophageal rupture
Gallbladder

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6
Q

Connective tissue issues of CP

A

Costochondritis
Fibromyalgia
Wall structures

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7
Q

Skin causes of CP

A

Herpes zoster

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8
Q

Strategy for CP

A

Differential mainly based on hx
PE helps
Tests are to prove or reinforce findings from the hx and physical

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9
Q

Possible angina equivalents for CP

A

SOB
Weak
Poor sleep
Reduced exercise capacity

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10
Q

Visceral etiology of CP

A

Due to lack of oxygen to myocytes

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11
Q

When are CP sx less likely d/t ischemia?

A

Lasting few minutes or over 24 hrs

Pleuritic or positional pain

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12
Q

Acute coronary syndrome

A

Sudden imbalance between myocardial oxygen consumption and demand, usually due to coronary artery occlusion

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13
Q

Other causes of supply/demand imbalance

A

Vasospastic angina
Coronary embolism, arteritis
Noncoronary causes: hypotension, anemia, HTN, tachycardia, aortic stenosis, severe heart failure

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14
Q

When should an EKG be performed?

A

Within 10 minutes of pt’s arrival at an emergency facility

May show ST elevation, ST depression, T wave changes, may be nl

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