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Cardiovascular System > Chest Pain > Flashcards

Chest Pain Flashcards

1
Q

What are the systems that can cause chest pain?

A

Cardiovascular
Respiratory
Upper GI
MSK

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2
Q

What are cardiovascular causes of chest pain?

A

MI
Myocardial ischaemia
Pericarditis
Aortic dissection

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3
Q

What are respiratory causes of chest pain?

A

Pneumonia
Pleurisy
Pneumothorax
Pulmonary embolism

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4
Q

What are upper GI causes of chest pain?

A

Reflux

Peptic ulcer disease

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5
Q

What are MSK causes of chest pain?

A

Rib fracture

Costochondritis

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6
Q

What are characteristics of cardiac chest pain?

A

Visceral pain
Dull
Poorly localised
Worsened with exertion

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7
Q

What are characteristics of pleuritic chest pain?

A

Somatic pain
Sharp pain
Often well localised
Worse with inspiration

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8
Q

What is pericarditis?

A

Inflammation of pericardium

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9
Q

What is a common cause of pericarditis?

A

Secondary to viral illness

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10
Q

What is the common presentation of pericarditis?

A

Retrosternal sharp pain

Worse on inspiration, coughing, lying flat

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11
Q

What can be heard on ausculatation with pericarditis?

A

Pericardial rub

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12
Q

What are the ECG changes with pericarditis?

A

Wide spread saddle shaped ST elevation

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13
Q

What are risk factors for ischaemic heart disease?

A 
Smoking 
Hypertension 
Hyperlipidaemia
Obesity 
Family history 
Male
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14
Q

What is the ischaemic pattern of stable angina?

A

Ischaemia only occurs with increased metabolic demands

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15
Q

What is the common presentation of stable angina?

A

Dull central pain
Bought on by exertion
+/- radiations to shoulder/jaw/arm

Not associated with sympathetic features

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16
Q

What is acute coronary syndrome?

A

Acute myocardial iscjaemia caused by atherosclerotic coronary artery disease

17
Q

What conditions come under ACS?

A

Unstable angina
STEMI
NSTEMI

18
Q

What is the common presentation of unstable angina?

A

Dull central chest pain

Occurs at rest

19
Q

What is the common presentation of a MI?

A 
Dull central pain 
Very severe
At rest
Nausea/sweating
\+/- breathlessness

Cardiovascular System (16 decks)

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