CC Cardiac-Differential Diagnosis Flashcards

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1
Q

Acute MI (Causes)

A
  • Arthrosclerotic disease
  • Stimulant use
  • Inflammatory disease
  • Degenerative disease
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2
Q

Acute MI (Important History)

A
  • Sudden onset, radiation to arms, neck, jaw
  • Crushing, burning, stabbing pain
  • Nausea, dizzy
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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
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4
Q

Acute MI (Treatment)

A
  • IV,O2, Monitor/12 lead
  • Thrombolytic checklist
  • Nitro, Aspirin, Morphine, Thrombolytics, Clopidogrel
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5
Q

Angina Stable/Unstable (Causes0

A

-Over exertion, atherosclerotic disease, degenerative disease

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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
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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
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8
Q

Angina Stable/Unstable (Treatment)

A

Treat as an MI

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9
Q

Cardiac Tamponade (Causes)

A
  • Excess fluid in pericardium
  • Pericarditis
  • Trauma
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10
Q

Cardiac Tamponade (Important History)

A
  • Chest pain may or not be present (pericarditis may be present)
  • Ask about recent heart surgery
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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
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12
Q

Cardiac Tamponade (Treatment)

A
  • Monitor and treat dysrhythmias
  • Rapid Transport
  • HypoT: NSS, Dopamine
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13
Q

Costocondritis (Inflammation between ribs) (Causes)

A
  • Respiratory infection
  • Localized Trauma
  • Lifting/Moving
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14
Q

Costocondritis (Important History)

A
  • Gradual increase over days
  • Worsens with deep breath
  • Very localized pain
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15
Q

Costrocondritis (Exam Findings)

A
  • Fever, TachyC, Cough, Dyspnea

- Decreased breath sounds in affected areas, Hypoventilation

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16
Q

Costocondritis (Treatment)

A
  • IV,O2,Monitor

- Pain Management (Ketorolac)

17
Q

Mitral Valve Prolapse (Causes)

A
  • Mitral valve expansion into left atrium

- Regurg of blood into pulmonic vein during systole

18
Q

Mitral valve prolapse (Important History)

A
  • Episodes of chest pain, possible dizziness, palpitations, syncope
  • Most common in females, serious in men over 50
19
Q

Mitral valve prolapse (Exam Findings)

A
  • Midsystolic click

- Possible heart rhythm disturbance, chest pain, dyspnea

20
Q

Mitral valve prolapse (Treatment)

A
  • Support
  • IV, O2, Monitor
  • Treat dysrhythmias
21
Q

Pericarditis (Causes)

A
  • Infections
  • Renal failure
  • Aortic dissection
22
Q

Pericarditis (Important History)

A
  • Infection, PMH, recent trauma
  • Chest pain is cardinal symptom
  • Pain with increased respiration, relieved by sitting forward
23
Q

Pericarditis (Exam Findings)

A

-Chest pain, fever, dyspnea, pericardial friction rub

24
Q

Pericarditis (Treatment)

A
  • ABC’s
  • Monitor, treat dysrhythmias
  • Rapid transport
  • HypoT: NSS/Dopamine
25
Q

Pulmonary Embolism (Causes)

A
  • Air embolism
  • Venous thrombosis, recent surgery
  • Pregnancy
  • Smoking
  • Birth control
26
Q

Pulmonary Embolism (Important History)

A

-Sudden onset; Pleuritic, worsens with deep breath, history of immobility, DVT, recent pregnancy, smoking

27
Q

Pulmonary Embolism (Exam Findings)

A
  • Nagging chest pain over time, sudden SOB
  • Friction rub, cough, dyspnea, TachyC, Hypoxia
  • Possible fever, crackles, chest wall tenderness, syncope, coughing up blood
  • Heart rhythm disturbance
28
Q

Pulmonary Embolism (Treatment)

A
  • High flow O2
  • Fluids
  • Monitor and treat dysrhythmias
29
Q

Tension Pneumothorax (Causes)

A
  • Abnormal collection of air in pleural space
  • Secondary; Trauma, possible after heavy lifting/coughing
  • Pleuritic pain, worse with deep breath
  • Spontaneous: Tall, thin, male, smoker