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Chest Pain DDX
CP DDX
5
Medical
Professional
08/27/2012

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Cards

Term
Pulmonary Embolism
Definition
Presentation: CP, Pleurisy, Pedal edema, SOB, Hemoptysis, sometimes a Hx of recent (travel, surgery, DVT or PE) Lab/Rads: D-dimer, Chest-CT **if the pt creatinine, BUN or GFR are abnormal and Chest CT cannont be obtained due to renal failure VQ scan can be used
Term
Pneumonia
Definition
Presentation: CP, cough, SOB, Sputum production, Pleurisy, Abnormal lung ascultation Labs/Rads: WBC (elevated), Chest XR, Chest CT **IMPORTANT if hosp acquired Pneumonia must record date and time of antibiotic administered
Term
STEMI (ST elevation Myocardial infarction)
Definition
Presentation: Severe CP with associated Sx (Nausea, Vomiting, Diaphoresis) Labs/Rads: Mainly EKG **CK & Troponin will not show code STEMI but will confirm ischemic event; IMPORTANT import ".stemi" dot phrase
Term
ACS (Acute Coronary Syndrome)/ MI
Definition
Presentation: CP with associated Sx (Nausea, Vomiting, Diaphoresis), epigastric/abdominal pain (especially women) Labs/Rads: EKG (Maybe), cardiac enzymes if >6hrs, repeat if <6hrs
Term
Aortic Dissection
Definition
Presentation: Sudden onset of severe CP and/or back pain, Unequal blood pressures, Unstable vital signs Labs/Rads: Chest XR (maybe), CTA most conclusive
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