DPD_1 Flashcards
What are the investigations for chest pain
1.
2.
3.
- ECG
- Troponin
+ve: coronary angiography
-ve: ETT - Echocardioraphy
Differential Diagnosis chest pain
Cardio, Resp, GI and muscoskeletal causes
Cardiac: IHD, Aortic Dissection, Pericarditis
Resp: PE, pneumonia, pneumothorax
GI: Oesopohageal spasm, Oesophagitis, Gastritis
Muscoskeletal: Costochondritis
What are the leads + artery corresponding to the anterior heart
LAD
V1-4
What are the leads + artery corresponding to the lateral heart
Circumflex
V5, V6, I, aVL
What are the leads + artery corresponding to the inferior heart
RCA
II, III, aVF
Differential diagnosis of collapse
Vasovagal Arrhythmia Outflow obstruction Postural Hypotension Seizure hypoglycaemia
Cardiac causes of collapse
Tachy/brady-arrhythmia Outflow obstruction: -Left:Aortic Stenosis,HOCM -Right: PE Postural hypotension
Causes of raised JVP
Tricuspid regurgitation/stenosis Right HF AF Cardiac tamponade Constrictive pericarditis
Causes of sinus tachycardia
Sepsis, hypovolaemia, endocrine (thyrotoxicosis, phaeochromacytoma)
Causes of Atrial Fibrillation
Thyrotoxicosis, ischaemia, chest infection, alcohol, pneumonia, PE, cancer
Causes of VT
ischaemia, electrolyte abnormality, long QT syndrome
Management plan of SVT & BP: 120/80
Vagal manoeuvre-valsalva/carotid massage
Adenosine 100mcg/Kg
DC cardioversion (haemodynamic comprimise)
Management of acute fast AF & BP: 120/80
> 48h anticoag 3-4wks before cardioversion
Beta-blocker
Digoxin
Management of VT
haemodynamically stable: IV amiodarone
pulseless: defibrillate
Voltage criteria of LVH
Deep S in V1/2
Tall R in V5/6
larger than 7 large squares
ECG changes 1st degree heart block
Prolonged PR interval
ECG changes 1st degree heart block
P wave not followed by QRS complex
ECG changes complete heart block
No relation between P wave and QRS complex
What are the sounds: S1 S2 S3 S4
- Closure of mitral valve
- Closure of aortic valve
- Ventricular Filling
- Ventricular Hypertrophy
Management of acute heart failure
Sit up Oxygen GTN infusion Diamorphine Furosemide
Differential Diagnosis of Pleuritic Chest Pain
Pericarditis PE Pneumonia Pneumothorax Pleural pathology