chest pain

Question 1

tx of chostochondritis

Answer 1

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

Question 2

chostrochondritis

Answer 2

inflammation of the costal cartialage

Question 3

causes of chostrochondritis

Answer 3

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

Question 4

symptoms of chosto chondro

Answer 4

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

Question 5

how would you diagnose chostochronditis

Answer 5

clinically

tender on palpation

Question 6

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

Answer 6

1. MI
2. PE
3. PNEUMOTHORAZ
4. AORTIC DISECTION

Question 7

signs of arotic dissection

Answer 7

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

Question 8

rf for dissection

Answer 8

ct diseases
hypertension
aneurysm (weakens wall)

Question 9

defintive diagnosis aortic dsscetion

Answer 9

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

Question 10

how can we categorise the causes for chest pain

Answer 10

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

Question 11

investigations

Answer 11

bloods -anemia can be a cause, pericarditis

ecg

xray - if s.o.b

Question 12

HEART SCORE is for what

Answer 12

likelhood of major caridac event