Cardiac Symptoms

Question 1

Angina

Answer 1

Retrosternal pain, heavy arms or chest, pain in throat or jaw, teeth and down to the armpit, nausea/ vomiting, pallor/diaphoresis

Question 2

Myocardial infarction

Answer 2

Sever central chest pain, both or one side of the chest, neck jaw arm and back pain, crushing, pallor/ diaphoresis, faintness, giddiness, nausea and vomiting, anxiety, hypotension/hypotension, shallow breathing, grey cyanosis extremeties, irregular pulse,ST elevation or Non ST elevation.

Question 3

Heart failure

Answer 3

LVF: Pulmonary oedema, dyspnoea, orthopnoea, reluctant to lie down, frothy pink sputum, lung sounds wheeze, crackles pallor, profuse, diaphoresis, cyanosis, agitation, confusion, tachycardia, elevated BP, raised JVP
RVF: peripheral oedema, JVD, weight gain, fatigued, distension, nausea, vomiting, tachycardia, arrhythmia, high BP, a history of MI

Question 4

Rheumatic fever

Answer 4

Joint pain, swelling, inflammation, pain and shortness of breath.

Question 5

Cardiac tamponade

Answer 5

Muffled heart sounds, narrowing pulse pressure, hypotension, distended neck vain, pulses paradoxus, pallor/diaphoresis, tachycardia, tachypnoea, altered LOC, history

Question 6

Pericarditis

Answer 6

Chest pain, neck , back, shoulder, abdopain, sudden sharp stabbing pain behind Breast bone or dull ache, pain increased when lying down or breathing in, fever, chills or sweating. ST elevation in all leads.

Question 7

Thoracic and abdominal aortic aneurysms AAA

Answer 7

Back or tearing abdominal pain, hypotension and syncope, pulsating abdominal mass, absent or reduced distal pulses and blood pressure, hypo perfusion. Only in less than 25% of AAA

Question 8

Sickle cell crisis

Answer 8

Breathless, hypoxia, tachypnoea/tachycardia over a short period of a time