chest pain Flashcards
tx of chostochondritis
self remitting goes away in a few weeks
but NSSAIDS if really bad you can get steroid injections
chostrochondritis
inflammation of the costal cartialage
causes of chostrochondritis
trauma
recent infection - coughing loads
repitive movements like lifting jobs
coughing a lot, like smoker
or an actual infecton
symptoms of chosto chondro
inhaling deeply
chest pain - central
coughing, laughing hurts
lying down hurts
how would you diagnose chostochronditis
clinically
tender on palpation
somoen comes in with chest pain what ddx do you not want to miss
- MI
- PE
- PNEUMOTHORAZ
- AORTIC DISECTION
signs of arotic dissection
its qtie varied as the aorta is a wide vessel so any organ can be affcected
- chest paon
- abdo
- back pain
- tingling and numbness of extremities
- cold extremtiies
- radio radio delay
7 radio femoral delay
rf for dissection
ct diseases
hypertension
aneurysm (weakens wall)
defintive diagnosis aortic dsscetion
CT ANGIOGRAM (looking at the vessels just like in pulmonary embolism )
how can we categorise the causes for chest pain
- CARDIAC
- RESP-pe, pneumothoraz
- OESAPHAGEAL
- CHEST WALL PAIN
investigations
bloods -anemia can be a cause, pericarditis
ecg
xray - if s.o.b
HEART SCORE is for what
likelhood of major caridac event