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Physical Assessment > Chapter 8, module 5; Chest Pain > Flashcards

Chapter 8, module 5; Chest Pain Flashcards

1
Q

Substernal chest pressure following exercise or stress and relieved by rest or nitroglycerin; nausea, SOB, diaphoresis, sternal chest pressure

A

Stable angina

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2
Q

Normal examination; possible transient S4

A

Stable angina

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3
Q

Diagnostic studies for Stable angina are?

A

ECG during episode of chest pain, treadmill stress testing, myocardial perfusion imaging

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4
Q

Chest pain; history of fever, dyspnea

A

Myocarditis

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5
Q

Physical findings of this are heart murmur, friction rub, fever?

A

Myocarditis

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6
Q

Diagnostic studies with myocarditis are?

A

ECG, chest radiograph, echocardiogram

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7
Q

Sharp, stabbing pain referred to left shoulder or trapezius ridge, usually worse during coughing or deep breathing; can be relieved by sitting forward; history of viral or bacterial infection, autoimmune disease

A

Pericarditis

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8
Q

Physical findings are fever before onset of pain, tachycardia, pericardial friction rub?

A

Pericarditis

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9
Q

Diagnostic studies for pericarditis are?

A

WBC, ESR, ECG, chest radiograph, echocardiogram

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10
Q

Chest pain on exertion, substernal and anginal in quality; fatigue, palpitations, DOE, dizziness, syncope

A

Aortic stenosis

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11
Q

Radial pulse diminished; narrow pulse pressure; loud, harsh, crescendo-decrescendo murmur heard best at second right ICS with patient leaning forward; thrill

A

Aortic stenosis

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12
Q

Diagnostic studies for aortic stenosis?

A

Echocardiogram, ECG, chest radiograph

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13
Q

Exertional chest pain, fatigue, palpitations, dizziness, DOE, syncope

A

Mitral regurgitation

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14
Q

Holosystolic, blowing, often loud murmur heard best at apex in left lateral position and decreases with inspiration; murmur can radiate to axilla and possibly back

A

Mitral regurgitation

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15
Q

Mitral regurgitation diagnostic studies?

A

Chest radiograph, ECG, echocardiogram

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16
Q

Productive cough of yellow or green or rust sputum, dyspnea, pleuritic pain

A

Pneumonia

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17
Q

Fever; tachycardia, tachypnea; inspiratory crackles; vocal fremitus; percussion dull or flat over area of consolidation; bronchophony; egophony

A

Pneumonia

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18
Q

Diagnostic studies of pneumonia?

A

Chest radiograph, sputum cultures, ABGs

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19
Q

Chest pain, varies in location and intensity; palpitations; anxiety; nonexertional pain of short dura¬ tion; history of Marfan syndrome

A

Mitral valve prolapse

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20
Q

Arrhythmias, possible midsystolic click heard over apex; heard best while patient is in sitting or squatting position; thoracoskeletal deformity common in children

A

Mitral valve prolapse

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21
Q

Diagnostic test for Mitral valve prolapse?

A

ECG, echocardiogram

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22
Q

Mild, localized chest pain, worse with deep breathing; recent URI

A

Pleuritis

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23
Q

Shallow respirations, local tenderness, pleural friction rub

A

Pleuritis

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24
Q

Diagnostic test for pleuritis?

A

chest radiograph

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25
Q

Substernal pain worse after eating and lying down; sour taste in mouth

A

Esophagitis

26
Q

Epigastric pain with palpitation

A

Esophagitis

27
Q

Diagnostic test Esophagitis?

A

Esophageal pH

28
Q

History of injury or trauma; pain with deep breaths; splinting of chest wall

A

Chest trauma (rib fracture)

29
Q

Shallow respirations; chest wall pain on palpitation

A

Chest trauma (rib fracture)

30
Q

Diagnostic test chest trauma (rib fracture)

A

chest radiograph

31
Q

Pain along sternal border, increases with deep breaths; history of exercise, URI, or physical activity

A

Costochondritis

32
Q

Pain with palpitation over costochondral joints; normal breath sounds

A

Costochondritis

33
Q

Diagnostic test of Costochondritis?

A

none

34
Q

Unilateral chest pain; painful rash?

A

Herpes zoster

35
Q

Normal breath sounds; vesicular rash along dermatome?

A

Herpes zoster

36
Q

Diagnostic test of Herpes zoster

A

none

37
Q

Epigastric pain 1 to 2 hr after eating, can be relieved by antacids; hematemesis and melena; risk factors include smoking and alcohol overuse

A

Peptic ulcer disease

38
Q

Tenderness to palpitation in epigastric area; signs of hypovolemia

A

Peptic ulcer disease

39
Q

Diagnostic test of Pepticulcer disease

A

Upper Gl radiograph, upper endoscopy, CBC

40
Q

Right upper quadrant abdominal pain radiating to right chest, often after eating high-fat meal; nausea and vomiting

A

Cholecystitis

41
Q

Positive Murphy sign; palpable gallbladder

A

Cholecystitis

42
Q

Diagnostic test of Cholecystitis?

A

Gallbladder ultrasound

43
Q

Severe epigastric or left upper quadrant abdominal pain radiating into left chest; pain worse in supine position; nausea, vomiting, fever

A

Acute pancreatitis

44
Q

Left upper abdominal pain with palpation; hypotension

A

Acute pancreatitis

45
Q

Diagnostic test of Acute pancreatitis?

A

Amylase, lipase, pancreas ultrasound or CT scan

46
Q

Chest pain, SOB, cough, hemoptysis, history of cigarette smoking; history of pneumonia

A

Lung tumors

47
Q

Normal examination or diminished breath sounds over tumor and dull percussion sound over tumor

A

Lung tumors

48
Q

Diagnostic test of Lung tumors?

A

Chest radiograph, spiral CT of chest, bronchoscopy

49
Q

Chest pain, SOB, diaphoresis, nausea; can relate to substance use

A

Cocaine and amphetamine use

50
Q

Tachycardia, hypertension

A

Cocaine and amphetamine use

51
Q

Diagnostic test of Cocaine and amphetamine use?

A

ECG, serial cardiac enzymes, drug screen

52
Q

Precordial chest pain, history of stressful situations

A

Psychogenic origin

53
Q

Normal examination

A

Psychogenic origin

54
Q

Diagnostic test of Psychogenic origin?

A

ECG, chest radiograph, treadmill stress test if car¬ diac risk factors present.

55
Q

Severe, acute onset, stabbing, paroxysmal, pleuritic pain over lower rib cage and substernal edge; headache, malaise, nonproductive cough

A

Pleurodynia

56
Q

Pleural friction rub 25% of time; chest examination normal; fever usually present

A

Pleurodynia

57
Q

Diagnostic test of Pleurodynia?

A

Chest radiograph

58
Q

Sudden, sharp, nondistressing pain near apex of heart; seen in adolescents

A

Precordial catch syndrome

59
Q

Normal examination

A

Precordial catch syndrome

60
Q

Diagnostic test of Precordial catch syndrome?

A

Chest radiography, ECG

Physical Assessment (27 decks)

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