chest pain Flashcards

1
Q

tx of chostochondritis

A

self remitting goes away in a few weeks
but NSSAIDS if really bad you can get steroid injections

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2
Q

chostrochondritis

A

inflammation of the costal cartialage

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3
Q

causes of chostrochondritis

A

trauma
recent infection - coughing loads
repitive movements like lifting jobs
coughing a lot, like smoker
or an actual infecton

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4
Q

symptoms of chosto chondro

A

inhaling deeply
chest pain - central
coughing, laughing hurts
lying down hurts

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5
Q

how would you diagnose chostochronditis

A

clinically

tender on palpation

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6
Q

somoen comes in with chest pain what ddx do you not want to miss

A
  1. MI
  2. PE
  3. PNEUMOTHORAZ
  4. AORTIC DISECTION
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7
Q

signs of arotic dissection

A

its qtie varied as the aorta is a wide vessel so any organ can be affcected

  1. chest paon
  2. abdo
  3. back pain
  4. tingling and numbness of extremities
  5. cold extremtiies
  6. radio radio delay
    7 radio femoral delay
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8
Q

rf for dissection

A

ct diseases
hypertension
aneurysm (weakens wall)

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9
Q

defintive diagnosis aortic dsscetion

A

CT ANGIOGRAM (looking at the vessels just like in pulmonary embolism )

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10
Q

how can we categorise the causes for chest pain

A
  1. CARDIAC
  2. RESP-pe, pneumothoraz
  3. OESAPHAGEAL
  4. CHEST WALL PAIN
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11
Q

investigations

A

bloods -anemia can be a cause, pericarditis

ecg

xray - if s.o.b

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12
Q

HEART SCORE is for what

A

likelhood of major caridac event

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