Chest Pain Flashcards
Key historical features of ACS
Chest pain, weakness, nausea, and fatigue
Key physical features of ACS
Variable: possible diaphoresis, ill appearance, or rales
PE historical features
Pleuritic chest pain, SOB, risk factors
PE Key exam features
Tachycardia, clear lungs, unilateral leg swelling
Aortic dissection historical features
Sudden onset severe ripping pain to back with paresthesia or paralysis
Aortic dissection key exam features
Unequal blood pressures, abnormal pulses, neurologic deficits
Tension Pneumothorax key historical features
Sudden onset severe unilateral pleuritic chest pain
Tension Pneumothorax key exam features
Hypotension, unequal breath sounds, tracheal deviation
Esophageal Rupture key historical features
Intense SSCP after vomiting or endoscopic procedure
Esophageal Rupture key exam features
Hamman’s crunch (crackle sound heard or felt in time w/ heart beat)
Pericarditis/Tamponade key historical features
Pleuritic chest pain and dyspnea
Pericarditis/Tamponade key exam features
Muffled heart sound, distended neck veins, hypotension
