Chest Pain Flashcards
1
Q
Give 10 examples of acute chest pain?
A
- MI
- Pulmonary embolism
- Pneumonia
- Pleuritic pain
- Anxiety
- GORD
- Gallstones
- Pericarditis
- Aortic dissection
- Pneumothorax
2
Q
Give 5 examples of chronic/recurrent chest pain?
A
- Angina
- Nerve root pain
- Muscular pain
- Oesophageal reflux
- Nonspecific pain
3
Q
Describe MI pain?
A
- Central
- Radiates to neck, jaw, teeth, arms, back
- Severe
- Nausea, vomiting & sweating
4
Q
Describe Pulmonary embolism pain?
A
- Similar to MI if embolus is central
- Pleuritic pain if embolus is peripheral
- Breathlessness/haemoptysis
- Haemodynamic collapse
5
Q
Describe lung infection/ pneumothorax pain?
A
- Worse on breathing
- Associated with cough
6
Q
Describe Pericardial pain?
A
- Mimic cardiac ischaemia & pleuritic pain
- Relieved sitting up & leaning forward
7
Q
Describe Aortic dissection pain?
A
- “Tearing” pain
- Radiates to back
8
Q
When can pleural friction rub be present?
A
- PE
- Infection
9
Q
When can pericardial friction rub be present?
A
- Pericarditis
- Aortic dissection
10
Q
Describe angina pain?
A
- Worse in cold/wind
- Induced by emotional stress/exercise
- Relieved by rest & GTN spray
11
Q
Describe acute coronary syndrome?
A
- MI with ST segment elevation
- MI with only T wave inversion/ST segment depression
- Chest pain with ischaemic ST segment depression but no troponin increase (unstable angina)
- Sudden death due to coronary disease
12
Q
What is the commonest cause of community acquired pneumonia?
A
Streptococcus pneumoniae
13
Q
Is cardiac tamponade painful?
A
No
14
Q
Where does gallstone pain radiate to?
A
Right shoulder
15
Q
List the tests that you would perform/refer in a patient with chest pain?
A
- ECG
- Chest X-ray
- Blood tests
- Sputum sample
- Stool sample
- Urine analysis
- Peak flow
- D dimer (clots)
- Coronary angiography
