Term
| 5 causes of chest pain that kill you |
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Definition
PE
Pneumothroax
MI
Aortic disruption/transection
Esophageal rupture |
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Term
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Definition
pleuritic chest pain, dyspnea, fear of impending doom
pain can be REPRODUCIBLE by TTP on exam |
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Term
Pneumothorax
(3 main types) |
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Definition
sharp or crushing chest pain
can be iatrogenic
3 main types: spontaneous, open, tension
tenderness of chest wall, absent or decreased breath sounds |
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Term
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Definition
| productive cough, reproducible chest pain, decreased breath sounds with rhonci |
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Term
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Definition
chest discomfort, tightness, dyspnea, cough
PE: tachypnea, prolonged expiration, pursed-lip breathing, tachycardia
barrel chest develops over time |
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Term
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Definition
| C/o SOB, S3 Gallop type murmur (Kentucky murmur) |
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Term
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Definition
chest/neck/jaw/upper back/arm pain
stable - present with exercise
unstable - present at rest |
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Term
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Definition
upper back, neck or trap pain
aggravated by deep breaths, cough, laugh, swallowing
MAY BE RELIEVED BY HOLDING BREATH, SITTING UPRIGHT
pericardial friction rub
ST segment elevation |
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Term
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Definition
Acquired inflammatory cardiomyopathy
arrythmia is common (biggest risk) |
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Term
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Definition
doesn't usually cause chest pain
PE: splinter hemorrhages in nailbeds, clubbing of fingers, petechiae of heels |
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Term
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Definition
c/o tearing, ripping pain in chest and/or upper back
dyspnea, dizzy, syncope, stroke symptoms
DISRUPTION (as opposed to dissection) is usually traumatic |
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Term
| Esophageal rupture (boerhaave syndrome) |
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Definition
caused by vomiting
PE: crushing chest pain, SOB, acute distress |
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Term
| Mallory-Weiss syndrome (esophageal mucosal tear) |
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Definition
Hx: EtOH abuse, bulimia, gastroenteritis, hematemesis
PE: BLOODY EMESIS |
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Term
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Definition
| usually worse at night and after meals, "brackish" taste in mouth in morning, COUGH |
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