triggers - chest pain Flashcards

1
Q

pulsus paradoxus is seen when

A

cardiac tamponade

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2
Q

difficult to describe and localize is what type of nerve fiber

A

visceral (discomfort, aching, radiating)

(somatic is specific, sharp, stinging, non radiating)

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3
Q

what is becks triad and what is it for

A

hypotension w narrow PP, JVD, muffled heart sounds.

cardiac tamponade

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4
Q

lower voltage QRS with electrical alternans on EKG

A

cardiac tamponade

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5
Q

what is wells score for

A

PE

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6
Q

what is PERC criteria for

A

PE

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7
Q

what is the geneva score for

A

PE

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8
Q

severe tearing pain radiating to interscapular area of back

A

aortic dissection

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9
Q

tall slender males who smoke are at risk for what

A

spontaneous pneumothorax

also risks: COPD and asthma

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10
Q

what is the TIMI score for

A

AMI

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11
Q

which cardiomyopathies have normal ejection fraction?

A

HCM (RCM too? idk)

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12
Q

which cardiomyopathy is hereditary

A

HCM

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13
Q

characterized by asymmetric LVH or RVH resulting in decreased compliance of LV, impaired diastolic function and filling

A

HCM

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14
Q

systolic ejection murmur enhanced by valsalva and standing

made quieter with squatting

A

HCM

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15
Q

long term treatment is atenolol

A

HCM

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16
Q

characterized by restricted ventricular filling with diastolic dysfunction

17
Q

what is treated with diuretics, digoxin, ACEis and BB

18
Q

Echo showing large pericardial effusion with RA or RV diastolic collapse

A

cardiac tamponade

19
Q

a hoarse voice or Horners syndrome can be assocaited with what diagnosis

A

aortic dissection

20
Q

when is unasyn or zosyn (Clinda + cipro) used in this lecture

A

abx for management of esophageal rupture

21
Q

chest pain worsened by neck flexion with subcutaneous emphysema on PE

A

esophageal rupture

22
Q

emergency Echo indicated for what

A

cardiac tamponade

Aortic dissection only if CTA not available

23
Q

when do you use fenoldopam?

A

in HTN emergency patients with kidney insufficiency

24
Q

HCTZ is used in treatment of HTN urgency is what population

A

HTN urgency w no prior hx of HTN

25
worse with swallowing, PE shows hammans crunch (mediastinal crunch)
esophageal rupture
26
when would you see pneumomediastinum or pneumoperitoneum
esophageal rupture
27
does cardiac tamponade cause diastolic or systolic dusfunction
diastolic
28
EKG shows diffuse STE with lower voltage QRS and electrical alternans
cardiac tamponade secondary to pericaditis
29
Kussmaul's sign presents when?
Constrictive pericarditis and RCM