Clinical Practice Flashcards

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1
Q

Tight or heavy pain

Onset predictable w exertion

Relieved by rest

Moderate pain

A

Angina

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2
Q

Central, tight or heavy pain

Onset at rest

Severe pain

Sweating

Central chest pain

Can radiate to jaw/left arm

A

MI

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3
Q

Radiates to back

Instantaneous onset

Very severe pain

A

Aortic dissection

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4
Q

Burning pain

Not exertional

Present at rest

Onset may be when supine

A

Gastroesophageal reflux

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5
Q

Sharp or stabbing pain

Not exertional

Present at rest

Worse supine

A

Pericarditis

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6
Q

Central, tight, heavy pain

Exertional

Brief episodes

A

Myocardial ischemia

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7
Q

Positional

Often worse at rest

Prolonged

Chest wall tenderness

A

Chest wall pain

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8
Q

Sudden onset

Sharp

Dyspnea

A

Pneumothorax

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9
Q

Pleuritic pain

Fever

Dyspnea

A

Pneumonia

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10
Q

What are some causes of orthopnoea

A

Cardiac failure

Large pleural effusion

Severe pneumonia

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11
Q

Brief unconsciousness

Associated w nausea

Onset in teens or 20s

Occurs in response to emotional distress

A

Vasovagal syncope

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12
Q

Brief duration

Known low systolic BP

Use of antihypertensive meds

A

Orthostatic hypotension

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13
Q

Occurs during micturition

Occurs w prolonged coughing

A

Situational syncope

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14
Q

Fainting/dizziness during exertion

A

Left ventricular outflow obstruction from aortic stenosis or hypertrophic cardiomyopathy

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15
Q

Family history of sudden death

History of cardiac disease

Antiarrhythmic meds

History of rapid palpitations

A

Cardiac arrhythmia

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16
Q

What specific things do you need to ask about in cardio history

A

Chest pain

Dyspnea

Ankle swelling

Syncope

Fatigue

Palpitations

Intermittent claudication