Chest Pain Flashcards
Cardiovascular Causes
MI; Pericarditis; Myocarditis; Aortic dissection; Aortic stenosis; Cardiomyopathy
Pulmonary Causes
Pulmonary Embolism, Pneumonia
GI Causes
GERD, PUD, Pancreatitis, Cholecystitis
Musculocutaneous Causes
Costochondritis
Squeezing chest pain w/ radiation to neck and shoulder, dyspnea, sweating, nausea (ECG, angiography)
MI
Sharp pleuritic chest pain that is worse with inhalation, relieved by sitting up and leaning forward, shoulder pain, friction rub/Kussmaul’s sign (ESR, ECG)
Pericarditis
Fever, purulent, yellow-green productive cough, dyspnea, pleuritic chest pain, crackles/rales, wheezing (chest x-ray, sputum cultures)
Pneumonia
Dyspnea, pleuritic chest pain, cough, hemoptysis, syncope, tachycardia (Chest CT, ECG)
Pulmonary Embolism
Heartburn worse with meals and after lying down, regurgitation (upper endoscopy)
GERD
Vomiting, weight loss, bloating, hematemesis, melena (dark bloody stool) (EGD, urease breath test, H. pylori, NSAIDS)
PUD
Sudden epigastric pain radiating to the back, nausea/vomiting, fever (ultrasound, CT, increased amylase/lipase)
Pancreatitis
Severe RUQ pain, fever, nausea/vomiting (Murphy Sign +, RUQ ultrasound, increased alkaline phosphatase/bilirubin)
Cholecystitis
Acute anterior chest or back pain, unequal blood pressures in arms, diastolic decrescendo (Chest CT, angiography)
Aortic Dissection
Syncope, angina, dyspnea, crescendo-decrescendo murmur (Chest CT, echocardiography, ECG)
Aortic Stenosis
Shortness of breath, edema, ascites, coughing, fatigue, palpitations, heart murmurs (Chest CT, echocardiogram, ECG)
Cardiomyopathy
