Approach To Chest Pain

Question 1

Most common diagnosis of CHEST DISCOMFORT at the ER

Answer 1

GIT causes

Question 2

Character of pain in ACUTE PERICARDITIS

Answer 2

~ Pleuritic
~ Knife-like
~ Radiation to the TRAPEZIUS

Question 3

Character of pain in AORTIC DISSECTION

Answer 3

~ Severe
~ Sudden
~ Tearing
~ Radiation to the INTERSCAPULAR area

Question 4

Character of pain in ESOPHAGEAL SPASM

Answer 4

~ Squeezing

~ RELIEVED by Nitroglycerin or dihydropyridine CCBs

Question 5

Character of pain in GALLBLADDER disease

Answer 5

~ Epigastric pain

~ Radiation to the TIP of the RIGHT SCAPULA (d/t diaphragmatic irritation)

Question 6

Character of pain in acute PANCREATITIS

Answer 6

~ Epigastric pain
~ BORING
~ Radiation to the BACK

Question 7

Character of pain in HERPES ZOSTER

Answer 7

DERMATOMAL distribution of pain (preceding onset of skin lesions)

Question 8

Most common presentation of PULMONARY EMBOLISM

Answer 8

Dyspnea

Question 9

Character of discomfort in COPD, asthma exacerbation

Answer 9

Chest tightness

Question 10

Location of chest discomfort than can be of MI

Answer 10

BELOW the mandible to ABOVE the umbilicus

Question 11

Sign which refers to the CLENCHING of FIST held against the sternum seen in MI

Answer 11

LEVINE sign