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21 Cards in this Set
- Front
- Back
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What is the skin DDx for chest pain?
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Herpes Zoster
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What is the Breat DDx for chest pain?
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Fibroadenoma, Gynecomastia
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What is the Musculoskeletal DDx for chest pain?
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Costochondritis, Precordial Catch Syndrom, Pectorial muscle strain,
Broken Rib, Cervical spondylosis, Myositis, Spine Fracture |
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What is the Esophageal DDx for chest pain?
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Spasm, GERD, Med induced esophagitis
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What is the GI DDx for chest pain?
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Peptic Ulcer, Galbladder, Liver disease, Pancreatitis
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What is the Pulmonary DDx for chest pain?
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Pleural effusion, Pnemonia, Malignancy, Viral Infections, Pneumothorax, Embolism, Hypertension
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What is the Cardiac DDx for chest pain?
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Pericarditis, Myocarditis, MI, Angina
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What is the Vascular DDx for chest pain?
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Thoracic aortic aneurysm or disection
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What is the psychiatric DDx for chest pain?
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hyperventilation
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What are some features of an EKG of a patient with LVH?
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Slightly widened QRS
ST depression in (I, V1, V4, V5, V6) Inverted T waves in (II, III, V2, V3, aVF) |
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What is a specific voltage criteria for diagnosing LVH?
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R wave in aVL bigger than 18mm
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What is angina pectoris?
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Pain caused by mistamatch of oxygen supply and demand
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What is the difference between stable and unstable angina?
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stable angina consistent pattern of pain with consistent recovery.
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What are some other causes of angina?
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Anemia, Aortic Stenosis, LVH, Hyperthyroidism, cold/stress/anger/large meals
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What are some additions symptoms with angina?
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dyspnea, nausea, palpitations, syncope, weakness, jaw/neck/back pain, burning with women
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What are some risk factors with CAD?
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Male gender, older than 55, diabetes, tobacco use, hypertension, family history, hyperlipedimia, hypercholestrolemia, high homocysteinenia, elevated CRP
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If you suspect angina, what should you do next?
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Labs:fasting glucose, fasting lipids, CBC, TSH
Stress Test |
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What is the basic procedure for a stress test?
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You induce myocardial ischemia (exercise, dobutamine, adenosine, dipyridamole) while detecting with EKG, Nuclear imaging.
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What will you see on an EKG during and exercise stress test if there is ischemia?
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ST depression
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If there is a positive stress test, what could you do next?
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consider other diagnosis like GERD
Medicated with Beta Blockers ect. Catheritization/ angioplasty/ stenting |
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What are some causative agents in Pericarditis?
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Coxsackievirus, echovirus, adenovirus, TB, HIV, Post MI, Post Surgery, Uremia, Cancers, Procainamide, Hydralazine
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