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Osce > Cardio history taking > Flashcards

Cardio history taking Flashcards

1
Q

What does Socrates stand for?

A 
Site 
Onset 
Character
Radiation
Associated symptoms 
Timing
Exacerbating /relieving 
Severity
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2
Q

Associated symptoms in chest pain

A 
Sob- orthopnoea, paroxysmal nocturnal dyspnoea, pillows, exercise, 
Autonomic - nausea, vomiting, sweating
Palpitations
Syncope
Ankle/calf swelling 
Haemoptysis
Sputum 
Trauma
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3
Q

Exacerbating/relieving features of chest pain

A 
Exercise 
Food
Position
Gym
Analgesia 
Pleuritic
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4
Q

Pmh in chest pain

A 
mi 
Diabetes 
Hypercholesterolaemia
PVD
Stroke 
Rheumatic fever
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5
Q

Medication history in chest pain

A

Allergy

Ace and beta blockers

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6
Q

Social history in chest pain

A 
Smoking 
Passive smoking 
Diet 
Exercise 
Housing and stairs 
Alcohol 
Substances
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7
Q

Modifiable risk factors for heart disease

A 
Smoking and alcohol
Hypercholesterolaemia 
Obesity 
Hypertension
Diabetes
Sedentary lifestyle 
Poor medication compliance 
Stress
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8
Q

Non modifiable risk factors for heart disease

A

Age
Male
Family history
Previous cvd

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9
Q

History of unstable angina

A

Angina occurring with increasing frequency, unpredictably or at rest

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10
Q

ECG in unstable angina

A

Normal or show St depression or t wave changes

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11
Q

ECG in nstemi

A

St depression or t wave changes

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12
Q

ECG changes in stemi

A

As for nstemi plus St elevation >2mm I’m 2 contiguous chest leads

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13
Q

History of pericarditis

A

Pleuritic chest pain worse lying supine
Saddle shaped St elevation
Pr depression
Hear perdicsrdial rub on auscultaton

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14
Q

History of aortic dissection

A

Sudden onset
Tearing excruciating pain radiating to the back
More common in those with hypertension

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15
Q

Respirstory causes of chest pain

A

PE
pneumonia
Pneumothorax

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16
Q

Pe history

A 
Sob
Pleuritic chest pain
Haemoptysis 
Dizziness 
Syncope
17
Q

Pneumonia history

A

Sob
Temperature
Purulent cough
Pleuritic chest pain

18
Q

Pneumothorax history

A 
Sudden onset 
Sob
Pleuritic chest pain
Cigarette smokers 
Asthma 
Copd 
Marfans
19
Q

Gi causes of chest pain

A 
Gord 
Peptic ulcer disease 
Stress ulcer
Hiatus hernia
Oesophageal spasm
20
Q

Immediate treatment of Acs

A 
Romance 
Reassure 
Oxygen 
Moprhine 
Aspirin 300mg
Nitroglycerine 
Clopidogrel 300mg
Enoxaparin
21
Q

Investigation of acs

A

Bloods - tnx, u&e’s, tfts, glucose, cardiac enzymes, lipid profile
Chest x-ray- widened mediastinum may increase suspicion of aortic dissection, lv failure
Serial ecgs

22
Q

Presentation of chest pain

A 
Age 
Sex
Pain history 
Associated symptoms 
Omg
Likely diagnoses 
Management

Osce (11 decks)

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