Chest pain Flashcards

1
Q

Systems that can cause ‘chest’ pain

A

cardiac
respiratory
gastrointestinal
musculoskeletal

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2
Q

Cardiac causes of chest pain

A

MI
pericarditis
aortic dissection

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3
Q

Respiratory causes of chest pain

A

PE
pneumothorax
pneumonia
pleural inflammation

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4
Q

GI causes of chest pain

A

oesophageal spasm/dysmotility/reflux
oesophageal rupture (Boerhaave’s)

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5
Q

Musculoskeletal causes of chest pain

A

rib fracture/metastasis
muscle spasm/strain
costochondritis

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6
Q

How does ischaemia show on an ECG?

A

ST depression

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7
Q

How does infarction show on an ECG?

A

ST elevation

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8
Q

What is the difference between ischaemia and infarction?

A

ischaemia = blood flow to a tissue has decreased

infarction = blood flow to a tissue has been completely cut off

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9
Q

How does pericarditis show on an ECG?

A

saddle-shaped ST segments
changes seen on whole ECG - global as pericarditis affects whole heart

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10
Q

How does a PE show on an ECG?

A

sinus tachycardia
S1Q3T3

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