Card Set Information
Differentiating thoracic pain
How would a pt describe cardiac ishemic pain?
- like an elephant sittin on chest
- comes on and gets worst
what is cardiac pain usually a result of?
what is the pain distribution of cardiac pain?
- radiates to arm, shoulder and neck
What are the aggravating factors of cardiac pain?
- exercise and stress
What are the relieving factors for cardiac pain?
- med- anginine
What are possible futher invesitgations of cardiac surgery?
- CKMB- death cells
- tripomine levels- cardiac enzymes
What is pleurisy?
- inflammation of pleural layers- usually with another pathology
What is the decription of pleural pain (pleurisy, pericarditis, pneumothorax)
- close to rib cage
What is the pain distribution of pleural pain?
- over area that is affected
What are aggravating factors for pleural pain?
DB, C, laughing
what is a relieving factor for pleural pain?
What are possible further investigations that can be done for pleural pain?
- elimination of other possibilities
- pleural tap
What is the description of mm pain (chest wall, vertebral jts, costal cartilage)?
- intermittent pain
- pin point area of pain
What is the pain distribution of mm pain?
- local tenderness
what are aggravating factors for mm pain?
What are possible further investigations for mm pain?
- physical assessment
what is the description of oesophageal pain (reflux, ingestion)?
- burning pain
What is the pain distrbution for oesophageal pain?
- same as cariac
- chest, radiates down arm, neck and shoulder
What are aggravating factors for oesophageal pain?
- post food
- spicy food, hot, cold
What are reliving factors for oesophageal pain?
- sitting up
What further investigations can be conducted on oesophageal pts?
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