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10 Cards in this Set
- Front
- Back
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Q. 9 DDx for chest pain
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Angina Pectoris,
Dissecting Aortic Aneurysm, Gastroesophageal Reflux, Costochondritis, Lung Abcess, Acute MI, Pericarditis, Pneumonia, Pneumothorax |
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Q. Angina Pectoris
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Tightness, pressure, pain in chest
Usu felt retrosternally Usu lasts 2 - 10 min May radiate to neck, jaw, shoulder, arms <Exertion, stress >Rest REFER TO ED!! |
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Q. Dissecting Aortic Aneurysm
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ER!
Excruciating, tearing pain, Sudden onset Not relieved by rest, Not worse w/breathing May radiate to back or abdomen May have palpable abdominal mass/tenderness |
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Q. Gastroesophageal Reflux
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Retrosternal burning sensation
Can radiate upward Acidic, salty, or bitter fluid in mouth < supine, bending forward, or post large meal Chronic cough, chronic laryngitis |
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Q. Costochondritis
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Pain at costochondral junctions.
Usually elicited by palpating the inflamed joint Hx minor trauma or unaccustomed activity (ie painting, moving furniture) |
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Q. Lung Abcess
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Cough w/purulent, foul smelling, blood tinged sputum
Affected area dull to percussion Decrease breath sounds, may hear Crackles Fever, chills, anorexia, night sweats |
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Q. Acute MI
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ER!
Sudden Substernal Pain Not relieved by rest or nitroglycerine May radiate to L arm, jaw, neck, shoulder Painful breathing Anxiety, sense of impending doom N/V, Fatigue, indigestion, SOB Hx hyperlipidemia or DM |
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Q. Pericarditis
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ER!!
Sharp, stabbing, knife-like chest pain May radiate to back, neck, shoulder, arm <Deep inspiration, lying supine >Sitting up, leaning forward Friction rub on auscultation Fever, dyspnea, tachycardia |
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Q. Pneumonia
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Painful breathing
Pain Increase w/deep breathing Shaking chills, fever Dry cough that becomes productive Blood-tinged, green, foul-smelling sputum Crackles, rhonchi |
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Q. Pneumothorax
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ER!
Severe, sudden, sharp, diffuse/localized chest pain Painful breathing Usu unilateral Unilaterally dec or absent breath sounds Cyanosis |
