Chest pain & SOB Flashcards
Algorithm?
Hx for PE?
Virchow’s triad (hypercoagulability, endothelial damage, stasis), Abrupt vs. subacute, possible syncope, “impending doom”
PE for pulm embolism?
Tachy-HR/RR, hypoxia/cyanosis, leg edema, calf pain, +/- R-sided CHF
Tests for PE?
Wells/PERC score, D-dimer, S1Q3T3, CXR (Fleischner - dilated central pulm artery, Westermark - clarified area from blocked vessel, Hampton - wedge shaped opacity), CTA
Tx for PE?
Coumadin, LMWH, Factor Xa inhibitors, admit vs D/C?
Causes of pleuritic CP & SOB (atraumatic)?
PE, Pneumothorax, Pneumonia, Pericarditis, Pleurisy
Causes of pleuritic CP & SOB (traumatic)?
Pericardial tamponade, pulmonary contusion, tension pneumo
Causes of reproducible CP?
Strain, costochondritis, fracture, infection, zoster
Causes of substernal CP?
MI/angina, dissecting TAA, GI, Pneumomediastinum, Mediastinitis
Causes of SOB?
Pericardial effusion, Pleural effusion, CHF, Asthma/COPD, Anemia, Anxiety, Sickle cell crisis, ARDS
Hx for pneumothorax?
PE for pneumothorax?
Tests for pneumothorax?
Rx for pneumothorax?
Hx for penumonia?
PE for pneumonia?
Tests for pneumonia?
Rx for pneumonia?
Hx for pericarditis?
PE for pericarditis?
Tests for pericarditis?
Rx for pericarditis?
Hx for pleurisy?
PE for pleurisy?
Tests for pleurisy?
Rx for pleurisy?
Hx for pericardial tamponade?
PE for pericardial tamponade?
Tests for pericardial tamponade?
Rx for pericardial tamponade?
Hx for pulmonary contusion?
PE for pulmonary contusion?
Tests for pulmonary contusion?
Rx for pulmonary contusion?
Hx for tension pneumo?
PE for for tension pneumo?
Tests for for tension pneumo?
Rx for for tension pneumo?
Hx for strain?
PE for strain?