Chest pain & SOB Flashcards

1
Q

Algorithm?

A
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2
Q

Hx for PE?

A

Virchow’s triad (hypercoagulability, endothelial damage, stasis), Abrupt vs. subacute, possible syncope, “impending doom”

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3
Q

PE for pulm embolism?

A

Tachy-HR/RR, hypoxia/cyanosis, leg edema, calf pain, +/- R-sided CHF

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4
Q

Tests for PE?

A

Wells/PERC score, D-dimer, S1Q3T3, CXR (Fleischner - dilated central pulm artery, Westermark - clarified area from blocked vessel, Hampton - wedge shaped opacity), CTA

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5
Q

Tx for PE?

A

Coumadin, LMWH, Factor Xa inhibitors, admit vs D/C?

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6
Q

Causes of pleuritic CP & SOB (atraumatic)?

A

PE, Pneumothorax, Pneumonia, Pericarditis, Pleurisy

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7
Q

Causes of pleuritic CP & SOB (traumatic)?

A

Pericardial tamponade, pulmonary contusion, tension pneumo

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8
Q

Causes of reproducible CP?

A

Strain, costochondritis, fracture, infection, zoster

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9
Q

Causes of substernal CP?

A

MI/angina, dissecting TAA, GI, Pneumomediastinum, Mediastinitis

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10
Q

Causes of SOB?

A

Pericardial effusion, Pleural effusion, CHF, Asthma/COPD, Anemia, Anxiety, Sickle cell crisis, ARDS

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11
Q

Hx for pneumothorax?

A
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12
Q

PE for pneumothorax?

A
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13
Q

Tests for pneumothorax?

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14
Q

Rx for pneumothorax?

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15
Q

Hx for penumonia?

A
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16
Q

PE for pneumonia?

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17
Q

Tests for pneumonia?

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18
Q

Rx for pneumonia?

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19
Q

Hx for pericarditis?

A
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20
Q

PE for pericarditis?

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21
Q

Tests for pericarditis?

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22
Q

Rx for pericarditis?

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23
Q

Hx for pleurisy?

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24
Q

PE for pleurisy?

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25
Q

Tests for pleurisy?

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26
Q

Rx for pleurisy?

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27
Q

Hx for pericardial tamponade?

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28
Q

PE for pericardial tamponade?

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29
Q

Tests for pericardial tamponade?

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30
Q

Rx for pericardial tamponade?

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31
Q

Hx for pulmonary contusion?

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32
Q

PE for pulmonary contusion?

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33
Q

Tests for pulmonary contusion?

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34
Q

Rx for pulmonary contusion?

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35
Q

Hx for tension pneumo?

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36
Q

PE for for tension pneumo?

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37
Q

Tests for for tension pneumo?

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38
Q

Rx for for tension pneumo?

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39
Q

Hx for strain?

A
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40
Q

PE for strain?

A
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41
Q

Tests for strain?

42
Q

Rx for strain?

43
Q

Hx for fracture?

44
Q

PE for fracture?

45
Q

Tests for fracture?

46
Q

Rx for fracture?

47
Q

Hx for infectious cause?

48
Q

PE for infectious cause?

49
Q

Tests for infectious cause?

50
Q

Rx for infectious cause?

51
Q

Hx for Zoster?

52
Q

PE for Zoster?

53
Q

Tests for Zoster?

54
Q

Rx for Zoster?

55
Q

Hx for MI/angina?

56
Q

PE for MI/angina?

57
Q

Tests for MI/angina?

58
Q

Rx for MI/angina?

59
Q

Hx for dissecting TAA?

60
Q

PE for dissecting TAA?

61
Q

Tests for dissecting TAA?

62
Q

Rx for dissecting TAA?

63
Q

Hx for GI causes?

64
Q

PE for GI causes?

65
Q

Tests for GI causes?

66
Q

Rx for GI causes?

67
Q

Hx for pneumomediastinum?

68
Q

PE for pneumomediastinum?

69
Q

Tests for pneumomediastinum?

70
Q

Rx for pneumomediastinum?

71
Q

Hx for mediastinitis?

72
Q

PE for mediastinitis?

73
Q

Tests for mediastinitis?

74
Q

Rx for mediastinitis?

75
Q

Hx for pericardial effusion?

76
Q

PE for pericardial effusion?

77
Q

Tests for pericardial effusion?

78
Q

Rx for pericardial effusion?

79
Q

Hx for pleural effusion?

80
Q

PE for pleural effusion?

81
Q

Tests for pleural effusion?

82
Q

Rx for pleural effusion?

83
Q

Hx for CHF?

84
Q

PE for CHF?

85
Q

Tests for CHF?

86
Q

Rx for CHF?

87
Q

Hx for asthma/COPD?

88
Q

PE for asthma/COPD?

89
Q

Tests for asthma/COPD?

90
Q

Rx for asthma/COPD?

91
Q

Hx for anemia?

92
Q

PE for anemia?

93
Q

Tests for anemia?

94
Q

Rx for anemia?

95
Q

Hx for anxiety?

96
Q

PE for anxiety?

97
Q

Tests for anxiety?

98
Q

Rx for anxiety?

99
Q

Hx for sickle cell crisis?

100
Q

PE for sickle cell crisis?

101
Q

Tests for sickle cell crisis?

102
Q

Rx for sickle cell crisis?