CC Cardiac-Differential Diagnosis Flashcards
1
Q
Acute MI (Causes)
A
- Arthrosclerotic disease
- Stimulant use
- Inflammatory disease
- Degenerative disease
2
Q
Acute MI (Important History)
A
- Sudden onset, radiation to arms, neck, jaw
- Crushing, burning, stabbing pain
- Nausea, dizzy
3
Q
Acute MI (Exam findings)
A
- Sweating, dyspnea, Hyper/HypoT, Crackles
- Unusual: Syncope, abd pain, fatigue, weakness, SOB
- PAC’s, PVC’s, S3, S4
4
Q
Acute MI (Treatment)
A
- IV,O2, Monitor/12 lead
- Thrombolytic checklist
- Nitro, Aspirin, Morphine, Thrombolytics, Clopidogrel
5
Q
Angina Stable/Unstable (Causes0
A
-Over exertion, atherosclerotic disease, degenerative disease
6
Q
Angina Stable/Unstable (Important History)
A
- Usually 5-15 min duration of pain, usually relieved by rest or nitro
- Presence of risk factors
- Unstable if symptoms occur frequently with less exertion
7
Q
Angina Stable/Unstable (Exam Findings)
A
- Same s/s as MI
- Stable: Pain goes away with treatment
- Unstable: Not complete relief w/ treatment and clean 12 lead
8
Q
Angina Stable/Unstable (Treatment)
A
Treat as an MI
9
Q
Cardiac Tamponade (Causes)
A
- Excess fluid in pericardium
- Pericarditis
- Trauma
10
Q
Cardiac Tamponade (Important History)
A
- Chest pain may or not be present (pericarditis may be present)
- Ask about recent heart surgery
11
Q
Cardiac Tamponade (Exam Findings)
A
- Becks Triad: JVD, HypoT, Muffled Heart sounds
- Dyspnea, TachyC, NARROW PULSE PRESSURE, Pulsus paradoxus, chest pain relief bending forward
- ECG: Electrical alternans, PR depression
12
Q
Cardiac Tamponade (Treatment)
A
- Monitor and treat dysrhythmias
- Rapid Transport
- HypoT: NSS, Dopamine
13
Q
Costocondritis (Inflammation between ribs) (Causes)
A
- Respiratory infection
- Localized Trauma
- Lifting/Moving
14
Q
Costocondritis (Important History)
A
- Gradual increase over days
- Worsens with deep breath
- Very localized pain
15
Q
Costrocondritis (Exam Findings)
A
- Fever, TachyC, Cough, Dyspnea
- Decreased breath sounds in affected areas, Hypoventilation