Different Sources of Chest Pain

Question 1

MI - position?

• character?
• radiation?
• bi/unilateral arm Sx?
• better when? worse?
• time period?
• 3 ass sx?

Answer 1

retrosternal
grip, heavy, crush, 
neck shoulder jaw arm
paraesthesia/heaviness
better w rerst, nitrates, worse exercise
SOB , N, sweating
minutes

Question 2

Aortic Dissection

• pain - severity, pos, rad?
• may be in ? - leading to ? sx secondary to loss of blood supply to the ? ?
• onset?
• signs of distal what? or absent what?

Answer 2

sev, central chest, back and down arms
shock, neuro, sp cord
seconds
distal ischaemia, peripheral pulses

Question 3

Pleural Disease
pain - worse on? ? - where + character?
ass w ? ? tenderness
pain in ? ? suggests diaphragmatic pleural irritation.

Answer 3

deep breath, cough - localised sharp pain
costochondral tenderness
shoulder tip

Question 4

Oesophageal disease - where? diff to sep from cardiac

relief with ? - worse on ?? or ??

Answer 4

retrosternal
antacids
bending down
lying down

Question 5

MSK eg ?
imp associated with ? tenderness
severity?
often hx of?
often worse on ?

Answer 5

costochondritis
local
can be bad
trauma/cause
movement