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Emergency Medicine > Differentials for acute presentations - Chest Pain > Flashcards

Differentials for acute presentations - Chest Pain Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

What are life threatening causes of Chest Pain which are important to exclude?

A
  • ACS
  • PE
  • Pneumothorax
  • Aortic dissection
  • Pneumonia
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2
Q

How would you approach exploring chest pain as a symptom?

A

SOCRATES

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3
Q

What are important parts of a systems review in someone with chest pain?

A
  • How patient feels
  • Fever/clammy
  • Cardioresp - SOB, Wheeze, Cough, sputum, leg swelling
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4
Q

What is important to ask about in PMH in someone with chest pain?

A
  • Previous medical conditions
  • Happened before
  • Cardiovascular risk factors - Diabetes, smoking, hypercholesterolaemia, hypertension, previous MI/stroke, AF
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5
Q

What is important to ask about in the family history in someone with acute chest pain?

A

Cardiovascular events in close family

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6
Q

What would you ask about in social history in someone with acute chest pain?

A
  • Smoking
  • Alcohol
  • Long-haul travel
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7
Q

What would you look for on examination in someone with acute chest pain?

A
  • Tracheal deviation + JVP
  • Inspect chest
  • Expansion
  • Apex, heaves
  • Percusss
  • Auscultate heart/lungs
  • Legs - swelling/oedema/tenderness
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8
Q

What bloods would you consider doing in someone with acute chest pain?

A
  • FBC
  • CRP
  • U+E’s
  • Troponin - STAT and 12 hours after
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9
Q

What imaging would you consider in someone with acute chest pain?

A
  • CXR
  • CTPA
  • CT angiography
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10
Q

What bedside tests would you consider doing in someone with acute chest pain?

A
  • NEWS
  • ECG
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11
Q

What structured approach would you consider doing in someone with acute chest pain to help think about what investigations you could do?

A
  • Bloods/Bedside
  • Orifices
  • X-ray/Imaging
  • ECG
  • Specific tests
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12
Q

What are cardiac causes of chest pain?

A
  • ACS
  • Pericarditis
  • Myocarditis
  • Aortic dissection
  • Stable angina
  • Tamponade
  • Mitral valve prolapse
  • Pulmonary hypertension
  • Aortic stenosis
  • Arrythmias
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13
Q

What are respiratory causes of chest pain?

A
  • PE
  • Pneumothorax
  • Pneumonia
  • Empyema
  • Pleurisy
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14
Q

What are gastrointestinal causes of chest pain?

A
  • GORD
  • Oesophageal spasm
  • Gastritis
  • Peptic ulcer disease
  • Acute cholecystitis
  • Pancreatitis
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15
Q

What are MSK causes of acute chest pain?

A
  • General MSK pain
  • Costochondritis
  • Tietze syndrome
  • Fibromyalgia
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16
Q

What psychiatric conditions can cause chest pain?

A

Anxiety/panic attack

Emergency Medicine (32 decks)

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