Internal Medicine Shelf

Front 1

Acute pericarditis is diagnosed by?

Back 1

--pleuritic chest pain
--friction rub
--diffuse concordant st-segment elevation on ECG often with depression of PR segment

Front 2

widening of the mediastinum on CXR

Back 2

acute aortic dissection

Front 3

pain radiating to shoulder or arms

Back 3

MI
What causes pain to radiate to the top of the shoulder

Hint 3

pericarditis

Front 4

preferred treatment for STEMI

Back 4

PCI

Front 5

difficult to localize, but classically substernal CP related to exercise and relief with rest or NG.

Back 5

ischemic heart disease

Front 6

Pain worse when the patient is supine

Back 6

pericarditis

Front 7

First intervention in right sided MI

Back 7

NS infusion
Normal presentation of right sided MI?

Hint 7

Hypotension, clear lung fields, elevated CVP and right sided EKG ST elevations

Front 8

Treatment algorithm for right sided MI

Back 8

-- 1 L NS
-- Dobutamine
--

Front 9

Pain that radiates to the back, neck, jaw or arms

Back 9

Could be GERD
Time scale?

Hint 9

Minutes to hours and resolves spontaneously

Front 10

What is a common cause of 3rd degree AV block?

Back 10

Lyme disease
Which AV block typically progresses to complete block?

Hint 10

2nd degree Mobitz type II AV Block