chest pain d1

Question 1

chest pain/

Stable angina/risk factors/sx

Answer 1

Risk factors: C_AD

sx: su_bstern_{al c}he^{st d}is_comfor^{t pr}ecipitated by e^xertion.

Sx resolve promptly with rest or nitroglycerin +

sx do not change over the course of weeks.

Question 2

chest pain/

stable angina/important tests

Answer 2

Ex^erci_{se tol}era_nce test/

Angiogr_{am== an}giogra^phy= best for CAD

Question 3

chest pain/

GERD/sx

Answer 3

Sx: heartburn; chronic nature

Question 4

chest pain/

GERD/important tests

Answer 4

EGD

Question 5

chest pain/

Msk disorders/risk factors/sx

Answer 5

Hx of in^jur_y or

specif_{ic m}usc_ulosk^eleta^{l ch}e_st p^{ain s}ynd^rom^e

Question 6

chest pain/

Msk/important tests

Answer 6

PE

Rx:Response to tx

Question 7

chest pain/

Acute MI/

/demo/

risk factors/

sx/signs

Answer 7

demo:middle-aged man

risk factors: C_AD

sx: Ac_ute onset /

lun_g:S^OB;

heart: cr_ushin^{g s}ub^stern_{al c}he_{st pre}ss^ure;

GI:na_usea;

NS: d^iaphor^esis

a feelin^{g of} im_pend^ing doom

Question 8

chest pain/

Acute MI/

important lab and imaging tests

Answer 8

ECG Cardiac enzymes: C^K and t^roponi_n

C_oronar_{y ang}iogra^phy

Question 9

chest pain/

Unstable angina/

risk factors/

sx

Answer 9

Presence of cardiac risk factors: Isch^emic

sx: ne^w or wor_seniⁿg or

ⁱⁿcr_easing in fre^quency of s^x of C_AD

Question 10

chest pain/

Unstable angina/

important tests

Answer 10

ECG Cardiac enzymes (CK and troponin)

Stre_ss test_ing

Co^ronar_{y an}giograp_hy

Question 11

chest pain/

Thoracic aortic aneurysm dissection/

risk factors/

sx

Answer 11

ris_{k f}actors:H^TN!!

Maybe at^heroscle^rosis/

sx: a_cute+se^vere pain “te_aring “ ches^t p_ain/

R^adiatio_{n of} pain to b^ack

hint: BV is in the back/ BP differential

Question 12

chest pain/

Thoracic aortic aneurysm dissection/

important tests

Answer 12

Tran_sesopha^geal echo^card^iograp_hy

C_{T sc}an

Question 13

chest pain/

Esophageal spasm/

sx

Answer 13

Rec_urren_{t c}hest p^ain;

often wit_{h radi}atio^{n to} ba^ck/

hint: esophagus is in the back

Question 14

chest pain/

Esophageal spasm/

important tests

Answer 14

E_soph^age_{al ma}no_me^try and

_exclusio_{n of} oth^{er c}auses

Question 15

chest pain/

Pleural effusion or pneumonia w pleural effusion/

sx/signs

Answer 15

C_ough and S^OB w

PE findings for pleu^{ral e}ffus^ion

sign: Fe^ver

Question 16

chest pain/

Pleural effusion or pneumonia with pleural effusion/

important tests

Answer 16

Ches_{t radio}gra^ph

_Tho_racent^esis: to remove fluid

Question 17

chest pain/

Pericarditis/

sx/signs

Answer 17

sx:Pain reliev_{ed b}y leanin^{g fo}rw^ard

PE: Frictio_{n r}u^b

EC_{G ch}an_ges

Question 18

chest pain/

Pericarditis/

important tests

Answer 18

E^CG

Question 19

chest pain/

Pulmonary embolism/

risk factors (6)/

sx/

signs

Answer 19

Risk factors:

i^mmo_bilizatioⁿ,

_post^operati_{ve o}r

po_stpart_{um st}at^es, ^estroge_{n th}era_py,

ca_ncer, t_hro_mbophilia=hy^perco^agulability or a pr_othrombot^{ic sta}te

sx:Dy_spnea, T_ach_ycard^ia

U_nilater_{al le}g swe^lling

Question 20

chest pain/

Pulmonary embolism/

important tests

Answer 20

all body :

BV = C_{T an}giogr^aphy /

blood: _D-dime^r

_{lung: BV Pu}lmona_{ry an}giogram

blood Ve_ntilatio^{n per}fusion sc^an

Question 21

chest pain/

Subdiaphragmatic abscess/

risk factors/

signs

Answer 21

Int_ra-abdo^min^{al p}roc_ess

Fe_ver^s

Question 22

chest pain/

Subdiaphragmatic abscess/

important tests

Answer 22

Ab_{d. ultr}aso_und and C^T