Differential Diagnosis Of Chest Pain

Question 1

What is the Cardiopulmonary splanchnic nerves?

Answer 1

Sympathetic nerves to the heart and lungs

Question 2

What is contained within the cardiac plexus?

Answer 2

Sympathetic fibres
Parasympathetic fibres
Visceral afferent fibres

Question 3

What kind of pain is Somatic Pain?

Answer 3

Sharp, stabbing, well localised

Question 4

What kind of pain is visceral (organ) pain?

Answer 4

Dull, aching, nauseating, poorly localised

Question 5

What is the role of the Postcentral gurus of the parietal lobe?

Answer 5

Somatosensory

APs arriving here bing body wall sensations into consciousness

Question 6

What is the role of the precenteal gurus?

Answer 6

Somatomotor

APs originating here bring about contractions of the body wall skeletal muscle

Question 7

What are some causes if sharp central chest pain?

Answer 7

Shingles
Muscle, Joint, Bone
Pleurisy
Pericarditis

Question 8

What are causes of dull central chest pain?

Answer 8

Tracheitis 
Oesophagitis 
Ruptured aneurism of aortic arch
Angina 
MI
Gastritis 
Cholecystitis 
Pancreatitis 
Hepatitis

Question 9

What is radiating pain?

Answer 9

Pain felt both at the actual site of pathology and spreading form there.

Question 10

What is referred pain?

Answer 10

Pain felt only at a remote site from actual injury or disease.