Chest Pain Flashcards
1
Q
What are the causes of chest pain in post op complications?
A
Myocardial infarctions
DVT/Pulmonary embolism
2
Q
What is the path, pt, dx and tx for myocardial infarction in chest pain in post op complications?
What never not to use for post op myocardial infarctions?
A
Path: Athersclerosis Pt: Post op silent MI on ECG Dx: ECG, Troponins Thx MONA bash, PCI Never try tPA
3
Q
What is the Path of DVT/pulmonary embolism pts? Who is it high risk in?
A
Post op patients are bed ridden and just had manipulation
Ortho patients are high risk
4
Q
What are the symptoms of pts with DVT/Pulmonary embolism post op?
A
Plueritic chest pain, signs and symptoms of DVT
5
Q
How is DVT/pulmonary embolism Dx post op?
A
U/S of the legs
CT spiral chest or V/Q SCAN
6
Q
How are DVT/pulmonary embolism in post op dx?
A
Heparin drip -> warfarin
IVC filter only if’s there a reason for anticoagulantion
