Chest pain Flashcards
describe location & radiation of chest pain in stable angina
- central
- arm/jaw
is the pain in stable angina related to food
no
what can bring on and relieve the pain in stable angina
- exercise –> pain
- rest –> relief
no relief upon using GTN spray and pain lasting ___ indicates stable angina
> 20min
describe location of pain due to GORD
retrosternal burning sensation
patient fist against sternum
exacerbating factors in GORD
- lying flat
- after eating large meals
- bending forward
- straining
relieving factors in GORD
- swallowing saliva, water
- antacids
associations of GORD
- regurgitation
- sour taste
describe location & character of musculoskeletal pain
- localised, superficial pleuritic
signs of pneumonia
- cough
- purulent sputum
- general malaise
- fever
character of chest pain in pneumonia
- pleuritic
symptoms associated with pneumonia
- haemoptysis
- wheezing
- SOB
description & radiation of ACS pain
- sudden severe
- crushing
- arm/jaw
associated symptoms with ACS
- breathlessness
- nausea
- vomiting
- sweating
description of pain onset & severity & location in aortic dissection
- sudden
- severe tearing
- between shoulder blades
history info that makes you suspect dissection
- recent trauma
- hptn
- Ehler-Danlos/Marfan syndrome
what causes the 2ry symptoms of aortic dissection
interruption of blood supply
onset & character of PE/tension pneumothorax pain
- sudden
- pleuritic
PE pain associated symptoms
- SOB
- fever
- haemoptysis
PE history pieces (think DVT)
swollen, hot, tender leg unilaterally
tension pneumo associated symptom
SOB
tension pneumothorax history pieces
- lung disease
- marfan syndrome
- chest trauma
chest pain description & location in pericarditis
- pleuritic
- retrosternal
what is the pain in pericarditis aggravated by
coughing
alleviating factors in pericarditis pain
- sitting forward
- lying flat
if chest pain is worse on exertion what is he most likely diagnosis
angina
if chest pain is worse on lying down what is the most likely diagnosis
GORD
chest tenderness can be found in what type of conditions
musculoskeletal
distinction between costochondritis and Tietze’s syndrome
palpable swelling
