Cardiovascular and Abdominal Emergencies Flashcards
1
Q
3 categories of CP
A
Chest wall pain
Pleuritic and respiratory
Visceral CP
2
Q
Most important predisposing factor for aortic dissection
A
HTN
3
Q
Aortic dissection s/s
A
Abrupt, severe anterior or back pain btw the scapulas.
Ripping/tearing pain
HTN, tachycardia
Acute aortic regurg may occur
4
Q
Definitive test for aortic dissection
A
CT w/ contrast
or
TEE in good hands
5
Q
Type 1 dissection
A
Occurs before L subclavian in arch
Surgical
6
Q
Type 2 dissection
A
Occur after the L subclavian
May be medical or surgical
7
Q
DIssection medical tx
A
IV Beta blocker (metoprolol)
Nipride (nitroprusside)
Admit to the unit
8
Q
Burning abdominal pain
A
Peptic ulcer sx
9
Q
Stabbing abd pain
A
kidney stones
10
Q
Colicky pain types
A
Seconds: bowel
Minutes: kidney stone
tens of mins: Gallbladder
11
Q
Scapula pain
A
gallbladder
