chest pain Flashcards
immediate life threatening causes of CP
Acute myocardial infarction/ Acute coronary syndrome Pulmonary embolism Aortic dissection Tension Pneumothorax Pericardial tamponade Esophageal rupture
wells criteria
clinically suspected DVT — 3.0 points
alternative diagnosis is less likely than PE — 3.0 points
tachycardia (heart rate > 100) — 1.5 points
immobilization (≥ 3d)/surgery in previous four weeks — 1.5 points
history of DVT or PE — 1.5 points
hemoptysis — 1.0 points
malignancy (with treatment within six months) or palliative — 1.0 points
what does pain from aortic dissection feel like and where does it radiate?
tearing
between scapulae
what are signs and symptoms of a tension pneumothrorax?
acute SOB, hyper resonance over the pneumothorax but no breath sounds
true or false: no combination of history and physical exam with an EKG can exclude ACS with certainty
true
angina pectoris
discomfort induced by exercise and relieved with rest
and/ or nitroglycerin
new onset angina
angina that develops
within a 2 month time frame
unstable angina
angina
that occurs with more frequent occurrence
of anginal episodes, longer lived episodes
or more easily provoked angina.
atypical or prinzmetal angina
angina that occurs at rest
stable angina
anginal
symptomatology that occurs with the same
degree of exertion and resolves with the same
degree of rest and/ or same dosage strength
and frequency of NTG
true or false: CP and low BP is a candidate for nitro
false—> may be a worse outcome
bradycardia in the setting of CP should raise the concern of
inferior MI (always consider the possibility of a medication induced bradycardia with supra-therapeutic level of an AV node blocking medication)
what is the leading cause of death for both men and women worldwide?
ischemic heart disease
aortic dissection ssx
unequal pulses
pain radiating to the back
development of a new murmur of aortic insufficiency
what do you hear in a pneumothorax?
decreased breath sounds
