Chest Pain Flashcards
1
Q
Cardio Causes
A
- ACS
- Aortic Dissection
- Pericarditis
2
Q
Resp Causes
A
- Pneumothorax
- PE
- Pneumonia
3
Q
Gastro Causes
A
- Peptic Ulcer
- Ruptured Oesophagus
4
Q
MSK Causes
A
Costrochondritis
5
Q
Other
A
Shingles
6
Q
ACS Mx
A
ABCDE approach
7
Q
Bedside Ix
A
ECG
- Rule out ACS
- Check for sinus tachy/S1Q3 wave in PE
8
Q
Scoring Sx
A
Well score for PE
<4 = unlikely - do d dimer (CTPA if +ve, doppler if -ve)
>4 = likely - do CTPA (rx LMWH)
9
Q
Bloods
A
FBC, UEs, LFTs, Troponin CRP Clotting D dimer (if indicated)
10
Q
Imaging
A
CXR - rule out pneumothorax, pneumonia
CT - ?dissection
11
Q
Special Tests
A
Endoscopy
- Ulcer/upper GI bleed
CTPA
12
Q
CVD risk factors
A
Non-modifiable
- Age, male, ethnicity
- Family hx IHD or ACS,
- CKD, RA, diabetes, AF, hypothyroid
Modifiable
- Smoking
- Cholesterol
- Blood pressure
- Weight
13
Q
RED FLAGS
A
Must rule out ACS
- Severe, acute onset crushing central chest pain
- Radiates to jaw and arm
- Not relieved by GTN
14
Q
PE Risk Factors
A
THROMBOSIS
Travel Hypercoaguable/HRT Recreational drugs Old (>60) Malignancy Birth control pill Obesity/obstetrics Surgery/smoking Immobilization Sickness (CHF/MI, IBD, nephrotic syndrome, vasculitis)
15
Q
Social Hx
A
- Smoking
- Alcohol
- Diet and exercise
