summary of diagnositics Flashcards
1
Q
chest pain history
A
ask qns - elicit location, triggers and relivers
2
Q
classification of chest pain
A
typical
atypical
non-cardiac
3
Q
examination
A
info on location
tenderness to touch
physical and aural examination of the heart and lungs
4
Q
ECG
A
info on conducting system and cardiac morphology
ST segment - particular interest
5
Q
troponin
A
measured using sensitive lab test
low in conc
spikes 12 hrs after MI
6
Q
diagnostic flow chart
A
structure investigation
highlight key differential diagnosis and approporiate investigations
classify chest pain
7
Q
dietry management
A
important some fats = atheroma and CHD high salt intake implicated in hypertension fruit and veg protective alcohol in small amount protective in general alcohol - risk factor
