Thoracic 1

Question 1

Dissecting thoracic aortic aneurism

Answer 1

• Pain in chest that can radiate to the back
• Sudden onset
• Unrelenting pain that is not relieved by positional changes
• Emergency situation

Question 2

Coronary artery disease

Answer 2

• Age ( greater than or equal to 65 females, and 55 males)
• Known vascular disease
• Pain worse with exercise
• Cant reproduce pain with palpation
• Patient assumes pain is from cardiac origin

Question 3

Peptic ulcer

Answer 3

• Pain in epigastric region to middle thoracic spine
• Triggered or relieved by eating
• History of NSAIDS

Question 4

Cholecystitis (inflammed gallbladder)

Answer 4

• R upper quadrant and right infrascapular pain
• Moderate fever, nausea, and vomiting (kidneys can have this too)
• Symptoms occur 1-2 hours after a heavy meal
• • Murphys sign at R subcostal area