Chest Pain

Question 1

What are the symptoms of angina?

Answer 1

S: Retrosternal chest pressure
O: On exertion lasting a few minutes
C: discomfort
R:
A: SOB, Nausea
T:
E:
improved with GTN and rest
S: low

History: heart disease risk factor

Question 2

What are the symptoms of GERD?

Answer 2

S-central chest pain
O- after eating
C- heartburn
R- stomach to throat
A-
Coughing and wheezing from acid entering into tracheobronchi
Acid taste in mouth
T- can last hours
E-
PPI makes better
Bending over or supine makes worse
Spicy foods worse
S - medium

Question 3

What are the symptoms of costochondritis?

Answer 3

S: One sided chest pain normally localised
O: sudden
C: sharp chest pain
R: May radiate across chest
A:
T: Caused by frequent coughing or repetitive movement
E:worse on movement and Palpation

Question 4

What are the symptoms of pericarditis?

Answer 4

S: Central chest pain
O: Sudden
C: sharp pleuritic
R: May cause trap pain
A:
Peripheral oedema, JVD and Difficulty swallowing due to fluid
Low grade fever
SOB
T:
E: Improves when sitting up or sitting down
Worse when lying down
S:

History: History of chest infection

ECG: Concave ST elevation in all leads except and PR depression (larger Ratio of ST elevation to T wave in lead I is more likely benign early repolarisation which looks similar to pericarditis)

Auscultation: Pericardial rub (crunch of snow heard with the heartbeat)

Question 5

What are the symptoms of pleurisy?

Answer 5

Sharp pleuritic chest pain
History of previous chest infection that spreads
Pleural rub (crunching on snow which can be heard when the patient breaths)

Question 6

What are the symptoms of SVT?

Answer 6

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Question 7

What are the symptoms of AF?

Answer 7

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Question 8

What is the treatment of SVT and AF?

Answer 8

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