Cardiology

Question 1

Back Pain with radiation to back, unequal BP between arms

Answer 1

Aortic dissection

Question 2

Most accurate test for chest pain that radiates to the back with unequal BP between arms

Answer 2

CXR: Widened mediastinum
Confirm with CT, MRI or TEE
Disease: Aortic dissection

Question 3

Chest pain that worsens when lying flat, better when sitting up in an individual <40

Answer 3

Pericarditis

Question 4

What is the most accurate test for someone complaining of chest pain that worsens when lying flat, but improves when sitting up?

Answer 4

ECG: ST elevation everywhere, PR depression
Disease: Pericarditis