Chest Pain Flashcards
What question is asked for S in chest pain?
Where exactly in your chest is the pain?
What question is asked for O in chest pain?
When did it start?
What where you doing when it started?
What question is asked for C in chest pain?
Can you describe the type of pain you’re experiencing?
What question is asked for R in chest pain?
Does the pain radiate anywhere else?
What does the A in Socrates for chest pain include?
- Short of breath
- Pale, clammy and sweaty skin
- Palpitations, dizziness
- nausea and vomiting
- cough? Is it productive?
- lower limb/ lower back swelling (oedema)
- calf/lower limb swelling or pain (DVT)
- abdominal pain
- DVT risk factors
What is asked under T for chest pain?
Has the pain happened before?
Is it constant or intermittent?
What questions are asked for E in socrate in chest pain?
Does anything make the pain better or worse?
(Activity, laying, breathing, coughing, touching it, leaning forward or back)
What questions are asked for the final S in Socrates for chest pain?
How severe is the pain?
What are the symptoms of ACS?
constant crushing chest pain onset at rest. may radiate. SOB and nausea/vomiting, diaphoresis (excessive sweating), pale/clammy skin. ECG changes
What is the criteria for pathological q waves?
> 1mm wide
2mm deep
25% depth of QRS complex
Seen in leads v1-v3
What are the symptoms of pericarditis?
Pleuritic chest pain- A sharp central or left-sided chest pain, which may radiate.
ECG changes - widespread PR depression and ST elevation
R - reciprocal changes in AVR
I- pain improves when leaning forward and worse when laying down
infection
What are the symptoms of gastric reflux?
R- relieved when belching
E- burning epigastric abdominal pain
F - food makes it worse
L - pain lifts up to the oesophagus causing central burning chest pain
U - unpleasant sour taste in mouth
What are the symptoms of pleuritic chest pain?
Sharp isolated chest pain, worsened when breathing and moving. Can be associated with Cough, and pleural friction rub on auscultations.
