Hospital Management of Chest Pain

Question 1

Pompe disease

Answer 1

poor mucscle strength/tone
floppiness
enlarged heart/liver

Question 2

Chest pain

Answer 2

common clinical complaint
can relate to lots of conditions
many different types

Question 3

how to make clinical diagnosis

Answer 3

Clinical history
physical examinations
appropriate investigations

Question 4

possible causes of chest pains

Answer 4

potentially fatal-Myocardial Infarction
pneumothorax
pulmonary embolism
pericarditis
aortic dissection
common- anxiety
pneumonia
oesophagitis

Question 5

Acute Myocardial Infarction

Answer 5

chest heaviness, breathlessness, may radiate to left shoulder and arm
may be linked to nausea and sweatiness
risk factors include - snoking, diabetes family history
may differ between men and women
may be absent in patients with diabetes
can be tested with 12 lead ECG

Question 6

Pulmonary embolism

Answer 6

sudden chest pain, breathlessness, bloody cough, tachycardia
risk factors- signs of DVT, recent immobility

Question 7

acute aortic dissection

Answer 7

sudden tearing chest pain, radiates to back
risk factors- previous hypertension, family history of aortic dissection
associated with marfans syndrome - genetic condition allowing oesphagus to tear

Question 8

pneumothorax

Answer 8

sudden pleuritic pain
common in young, thin people, may reoccur

Question 9

chronic stable angina

Answer 9

episodes last few minutes, activated by exertion
risk factor for conorary disease

Question 10

oesophagitis

Answer 10

epigastric burning, reoccuring, bitter mouth taste, relieved by antacids or lifestyle changes

Question 11

musculoskeletal

Answer 11

caused by lifting/moving heavy objects