EM BLOCK III Flashcards
1
Q
Top 6 DDX for a pt with Chest pain
A
ACS PE Boerhaave Syndrome/esophageal rupture Aortic dissection Tension PTX Pericardial tamponade
2
Q
Safety Net for Chest pain
A
Start cardiac monitoring, get IV access, obtain ECG within 10 minutes, vital signs, Aspirin, +/- nitroglycerin, chest pain set of labs
3
Q
Diamond Criteria for Classic Chest Pain
A
Substernal Chest Pain
Exertional Chest Pain
Chest Pain relieved with rest
4
Q
What are the major Rsk Fx for ACS events
A
Known CAD AND prior ACS—>at risk for another ACS event
5
Q
Can a single EKG r/o MI/AMS
A
No, need serial EKGS and an initial troponin with a repeat Delta Troponin
6
Q
TIMI SCORE
A
7
Q
Best lab to Dx HF
A
BMP
(B type Nat peptide)
(Secreted from the Ventricles)
8
Q
What is the widest site on CXR for a Aortic Dissection
A
T4, 8 cms at T4 is Dx criteria
