Chest pain Flashcards
MI tests
- EKG
- Troponin x3
- CXR
- ECHO
Sickle Cell Disease- Acute Chest Syndrome tests
- CBC w/ reticulocyte count and peripheral smear
- LDH
- ABG
GERD tests
- Upper endoscopy
2. Esophageal pH monitoring
Stable Angina tests
- EKG
- Troponin
- CXR
- Exercise stress test
Pericarditis (2/2 to URI) tests
- EKG
- Troponin
- CXR
- ECHO
Costochondritis history (no tests)
stabbing CP, worsen with deep inspiration, relieved by NSAID, URI 1 wk ago, chest wall tenderness
PE tests
- D-dimer
- CTA – chest with IV contrast
- CXR
- EKG
- ABG
Aortic dissection tests
- TTE
- EKG
- Troponin
- CXR
- CBC
- CT chest
Severe chest pain radiating to the back differential
- aortic dissection (hx of HTN)
2. pancreatitis (hx of EtOH abuse)
60 yo M sudden onset substernal chest pain + dyspnea, diaphoresis, and nausea. Hx of HLD, HTN, and smoking.
MI GERD Costochondritis Aortic dissection Pericarditis PE Pneumothorax
20 yo African American F with acute onset chest pain. Hx of sickle cell disease and multiple hospitalizations for anemia and pain
Acute Chest Syndrome PE Pneumonia MI Pneumothorax Aortic dissection
45 yo F retrosternal burning sensation after heavy meals when lying down; symptoms relieved by antacids
GERD Esophagitis PUD Esophageal spasm MI Angina
55yo M with retrosternal squeezing pain- assoc with exercise and lasts 2 min. Relieved by rest and not related to food
Stable angina
Esophageal spasms
Esophagitis
34 yo F retrosternal stabbing chest pain- improves with leaning forward and worsens with inspiration.
Pericarditis Aortic dissection MI Costochondritis GERD Esophageal rupture
33 yo F with stabbing chest pain that worsens with deep inspiration and is relieved by aspirin.
Costochondritis Pneumonia MI PE Pericarditis Pleurisy Muscle strain
