Chest pain

Question 1

describe location & radiation of chest pain in stable angina

Answer 1

• central

- arm/jaw

Question 2

is the pain in stable angina related to food

Answer 2

no

Question 3

what can bring on and relieve the pain in stable angina

Answer 3

• exercise –> pain

- rest –> relief

Question 4

no relief upon using GTN spray and pain lasting ___ indicates stable angina

Answer 4

> 20min

Question 5

describe location of pain due to GORD

Answer 5

retrosternal burning sensation

patient fist against sternum

Question 6

exacerbating factors in GORD

Answer 6

• lying flat
• after eating large meals
• bending forward
• straining

Question 7

relieving factors in GORD

Answer 7

• swallowing saliva, water

- antacids

Question 8

associations of GORD

Answer 8

• regurgitation

- sour taste

Question 9

describe location & character of musculoskeletal pain

Answer 9

• localised, superficial pleuritic

Question 10

signs of pneumonia

Answer 10

• cough
• purulent sputum
• general malaise
• fever

Question 11

character of chest pain in pneumonia

Answer 11

• pleuritic

Question 12

symptoms associated with pneumonia

Answer 12

• haemoptysis
• wheezing
• SOB

Question 13

description & radiation of ACS pain

Answer 13

• sudden severe
• crushing
• arm/jaw

Question 14

associated symptoms with ACS

Answer 14

• breathlessness
• nausea
• vomiting
• sweating

Question 15

description of pain onset & severity & location in aortic dissection

Answer 15

• sudden
• severe tearing
• between shoulder blades

Question 16

history info that makes you suspect dissection

Answer 16

• recent trauma
• hptn
• Ehler-Danlos/Marfan syndrome

Question 17

what causes the 2ry symptoms of aortic dissection

Answer 17

interruption of blood supply

Question 18

onset & character of PE/tension pneumothorax pain

Answer 18

• sudden

- pleuritic

Question 19

PE pain associated symptoms

Answer 19

• SOB
• fever
• haemoptysis

Question 20

PE history pieces (think DVT)

Answer 20

swollen, hot, tender leg unilaterally

Question 21

tension pneumo associated symptom

Answer 21

SOB

Question 22

tension pneumothorax history pieces

Answer 22

• lung disease
• marfan syndrome
• chest trauma

Question 23

chest pain description & location in pericarditis

Answer 23

• pleuritic

- retrosternal

Question 24

what is the pain in pericarditis aggravated by

Answer 24

coughing

Question 25

alleviating factors in pericarditis pain

Answer 25

• sitting forward

- lying flat

Question 26

if chest pain is worse on exertion what is he most likely diagnosis

Answer 26

angina

Question 27

if chest pain is worse on lying down what is the most likely diagnosis

Answer 27

GORD

Question 28

chest tenderness can be found in what type of conditions

Answer 28

musculoskeletal

Question 29

distinction between costochondritis and Tietze’s syndrome

Answer 29

palpable swelling