Term
onset and intensity of non-cardiac chest pain |
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Definition
abrupt pain with intensity greatest at onset |
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Term
onset and intensity of cardiac chest pain |
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Definition
Onset and intensity of pain develop more gradually |
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Term
onset and intensity of psychogenic chest pain |
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Definition
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Term
Which groups of patients have less typical symptoms of coronary artery disease |
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Definition
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Term
What should the neck examination focus on in a pt with chest pain (list of 3) |
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Definition
1) Presence of lymhadenopathy in cervical chains or supraclavicular fossa may = lung CA as source of pain 2) Elevation of neck veins = volume overload, possible CHF 3) Tracheal deviation = possible PE |
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Term
Reasons Cardiac stress test is less effective in women than in men (list of 3) |
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Definition
1) less reliable in women than men 2) increased frequency of false-positive results in women 3) frequent failure to achieve target heart rates |
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Term
First-line method of diagnosing GERD as source of chest pain |
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Definition
High dose PPI BID for 1-2 months. Good response is sufficient for GERD dx. (Equal to or better than more invasive tests - 80% sensitivity, 74% specificity) |
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Term
Most common causes of noncardiac chest pain in primary care setting. (list of 4) |
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Definition
1. Musculoskeletal 2. Gastrointestinal 3. Psychiatric 4. Pulmonary disease |
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Term
What pill is especially known to suggest pill-induced esophagitis |
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Definition
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Term
Effective treatment of psychogenic noncardiac chest pain. (2) |
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Definition
1. SSRIs 2. Cognitive-behavioral therapy |
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