Chest Pain Flashcards
Name the chest pain ddx:
Substernal chest pressure post exercise/stress
N/V, SOB, diaphoresis
Relieved by rest/nitroglycerin
Stable angina
Stable angina workup and tx
ECG during episodes, treadmill stress test
Beta blockers
Name the chest pain ddx:
Chest pain
Hx fever, dyspnea
Murmur, friction rub
Myocarditis
Myocarditis workup/tx
ECG, echocardiogram
Beta blockers/ACEi
Name the chest pain ddx:
Sharp, stabbing pain referring to left shoulder or trapezius ridge
Worse during coughing/deep breathing
Relieved by sitting forward
Hx infection, AI disease
Fever before onset of pain
Tachycardia
Pericardial friction rub
Pericarditis
Pericarditis workup/tx
CBC, ESR, ECG, echocardiogram
NSAIDS
Colchicine
Anti-inflammatory diet
Name the chest pain ddx:
Productive cough of yellow, green, rust sputum
Dyspnea
Pleuritic chest pain
Fever
Tachycardia, tachypnea
Inspiratory crackles
Vocal fremitis
Pnemonia
Pnemonia workup/tx
Chest radiograph, sputum cultures
Antibiotics
Lots of fluids
Name the chest pain ddx:
Mild, localized chest pain
Worse with deep breathing
Recent URI
Shallow respirations, pleural friction rub
Pleuritis
Pleuritis workup/tx
Chest radiograph
NSAIDs
Name the chest pain ddx:
Substernal pain worse after eating and lying down
Sour taste in mouth
Epigastric pain with palpation
Esophagitis
Esophagitis tx
Antacids
Bland diet, avoiding alcohol
Name the chest pain ddx:
Pain along eternal border inc with deep breaths
Hx exercise, URI
Pain with palpation
Costochondritis
Costochondritis tx
NSAIDs
Physical Therapy
Anti-inflammatory diet/herbs
Name the chest pain ddx:
Epigastric pain 1-2 hours after eating, better antacids
Hemetemesis and Melena
Smoker/alcohol overuser
Tenderness to palpation in epigastric area
Signs of hypovolemia
Peptic ulcer disease
Peptic ulcer disease workup/tx
Upper GI radiograph, upper endoscopy, CBC
Antacids, proton pump inhibitors
Stress management
Stop smoking/drinking
Name the chest pain ddx:
Chest pain, SOB, cough, hemoptysis
Hx smoking, pneuomnia
Lung tumor
Name the chest pain ddx:
Severe acute onset chest pain
Stabbing, paroxysmal, pleuritic pain over lower rib cage and Substernal edge
Headache, malaise, nonproductive cough
Pleural friction rub
Pleurodynia
Name the chest pain ddx:
Sudden sharp, non distressing pain near heart apex
Precordial catch syndrome
