Chest Pain Flashcards
Key History Thought For Chest Pain
Context - when does it occur? - exertional - post-prandial, positional - cocaine - trauma
Risk Factors For Cadiac Causes Of Chest Pain
Hypertension
Hyperlipidemia
History (Family)
Smoking
DVT/PE Risk Factors
MIC
Malignancy
Immobilization
Coagulopathy
Chest Pain: Mnemonic for PE
IAP (As in the typical IAPP procedure)
Inspect The “PEC-J” (as in Pectoralis!)
• PMI / Edema / Chest Wall / JVD
Auscultate: rate, rhythm, mrg
Palpate: Pulses / Chest wall tenderness
5 Categories of CP DDx
Heart
Lungs
Chest Wall
Vessels
GI
CP: Heart Problems
“inFarction, inFlammation, Failure”
Infarction: MI
Inflammation: Pericarditis
Failure: CHF
CP: Lung
P’s and E’s
Pneumonia
Pneumothorax
Embolisms (PE, Fat Embolism)
CP: Chest Wall
“Hark K’s” of Chest Wall CP
KostoKhondritis
msK
sicKle cell pain crisis
CP: Vessels
“A’s”
Angina
Aortic Dissection
CP: GI related
gErd
Esophagitis
Esophogeal Spasms
PUD
Workup For CP: The Fantastic Four
C^2 + E^2
CXR / CBC
EKG / Enzymes (CPK-MB, Troponin x 3)
- * two other C’s* (Cardiac Cath / CTA chest c IV contrast)
- • two other E’s* (Echo / Exercise Stress Test)
Workup for GERD-related CP
“BUrP-E”
Barium Swallow
Upper Endoscopy/GI
r
pH (Esophogeal pH monitoring)
EKG
Work up for Sickle Cell Pain Crisis causing CP
Think RBC Stuff and Hemolysis
CBC
Retic Count
Peripheral Smear
LDH
Work Up For Pulmonary Embolism causing CP
Fantastic 4
ABG
Chem 7
CTA chest c IV contrast
Doppler
D-Dimer
Two DDx for CP when you would order ABG’s
Sickle Cell Crisis
Pulmonary Embolism
