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6 Cards in this Set

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A patient presents with acute chest pain; BP differential between arms and a murmur of aortic insufficiency. What is the diagnosis?
E: Aortic dissection
A: dissec
What is the key difference between the pain of angina and the pain of myocardial infarction?
E: The pain of angina is relieved by nitroglycerine and rest.
A: unrel
Name two non-cardiac life threating causes of acute chest pain?
E: Pneumothorax, pulmonary embolism
A: pneumo, (embo)|(PE)
A 31-year-old man complains of a sudden onset of sharp left chest pain, increased by deep inspiration and coughing. Physical findings, chest x-ray, and ECG are normal. What is your differential diagnosis?
E: * Acute pleuritis (coxsackievirus A, B)
* Acute pericarditis (coxsackievirus B)
* Pneumonia (viral, bacterial)
* Pulmonary embolus or infarction
* Pneumothorax

A:pleur,pneumot,pneumon,peric
A 56-year-old man presents to the emergency center with acute onset of squeezing and diffuse, anterior chest pain associated with diaphoresis and dyspnea. Name 6 important (ie, potentially life threatening) causes.
E: A 56-year-old man presents to the emergency center with acute onset of squeezing and diffuse, anterior chest pain associated with diaphoresis and dyspnea. What is your differential diagnosis? Show answer Hide answer

1. Acute MI
2. Angina pectoris
3. Acute aortic dissection
4. Acute pericarditis
5. Acute pulmonary embolus
6. Acute pneumothorax

A: angin, infarc, (PE)|(embo), pneumot, pneumon, peric, diss
A patient presents with acute chest pain, hypotension, clear lungs, elevated JVP. What should you suspect?
E: Right ventricular infarction
A: (RV)|right