GPA - Chest pain, palpitations Flashcards
1
Q
Key PE for chest pain
A
BP, boath arms, Cardiovascular; JVD, PMI, Chest wall tenderness, Heart sounds, Edema Lung Abdominal vitals
2
Q
DDX - Chest pain Sudden onset substernal heavy chest pain 30 minutes radiate to left arm dyspmea, sweating, nausea HX: htn, hyperlipidemia, smokeing
A
Acute MI GERD Angina Costrochondritis Aortic dissection Pericarditis Pulmonary embolism Pneumothorax
3
Q
Workup - Chest pain Sudden onset substernal heavy chest pain 30 minutes radiate to left arm dyspmea, sweating, nausea HX: htn, hyperlipidemia, smokeing
A
Echo: Ultrasound BNP, CPK -mp, Troponin CXR CBC, CMP, EKG
4
Q
DDX - Chest pain
20yo, AA
Acute chest pain, few hours
Hx of sickel cell
A
Sickel cell disease pulmonar infarct Pulmonary embolism Pneumonia MI Pneumothorax AOrtic dissection
5
Q
Workup - Chest pain
20yo, AA
Acute chest pain, few hours
Hx of sickel cell
A
Echo + ECG: heart stuff CXR CBC Reticulocyte count, peripheral smear CPK-mp, Troponin,BNP
6
Q
DDX - Chest pain Retrosternal buring sensation post heavy meals, lying down relieved by antacids
A
GERD Esophagitis Peptic ulcer disease Esophaegal spasms MI Angina
7
Q
Workup- Chest pain Retrosternal buring sensation post heavy meals, lying down relieved by antacids
A
Endoscopy : Upper esophageal
Esophageal PH monitoring
ECG: Heart
Barrium swallow
8
Q
DDX - Chest pain retrosternal squeezing pain 2 min, with exercise relieved by rest not related by food
A
Angina
Esophageal spasm
Esophagitis
Anxiety
9
Q
WOrkup - Chest pain retrosternal squeezing pain 2 min, with exercise relieved by rest not related by food
A
ECG CPK-mp, troponin, BNP, CXR, CBC, CMP Exercise stress test Upper endoscopy cardiac catheter
10
Q
DDX - Chest pain 34, retrosternal stabbing chest pain Improves when lean forward worsens with deep inspiration URI 1 weeks ago
A
Peritonitis Chostrocondritis MI Aortic dissection GERd
11
Q
Workup - Chest pain 34, retrosternal stabbing chest pain Improves when lean forward worsens with deep inspiration URI 1 weeks ago
A
ECG CPK-mp, troponin, bnp CXR, ECHO CBC upper endoscopy
12
Q
DDX - Chest pain stabbing pain that worsens with deep inspiration releaved by aspirin URI 1 week ago chest wall tenderness noted
A
Chostrochondritis pericarditis PE MI Pneumonia muscle strain
13
Q
workup - Chest pain stabbing pain that worsens with deep inspiration releaved by aspirin URI 1 week ago chest wall tenderness noted
A
ECG
CPK-mp, troponin, BNP
CBC
CXR
14
Q
DDX - Chest pain 70yo Acute onset SOB at rest pleuritic chest pain tachycardia, tachypnea hypotension mild feaver Recovering from hip replacement.
A
Pulmonary embolism CHF endocarditis MI CBC
15
Q
workup - Chest pain 70yo Acute onset SOB at rest pleuritic chest pain tachycardia, tachypnea hypotension mild feaver Recovering from hip replacement.
A
CXR CT ECG, echo CKP-mb, troponin, CBC CTA- iv contrast
