CP

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Author:
jessiekate22
ID:
169314
Filename:
CP
Updated:
2012-09-06 18:35:23
Tags:
Differentiating thoracic pain
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Description:
study note
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  1. How would a pt describe cardiac ishemic pain?
    • - cruching
    • - like an elephant sittin on chest
    • - comes on and gets worst
  2. what is cardiac pain usually a result of?
    ischemia
  3. what is the pain distribution of cardiac pain?
    • - chest
    • - radiates to arm, shoulder and neck
  4. What are the aggravating factors of cardiac pain?
    • - exercise and stress
    • - activity
  5. What are the relieving factors for cardiac pain?
    • - restĀ 
    • - med- anginine
  6. What are possible futher invesitgations of cardiac surgery?
    • - ECG
    • - CKMB- death cells
    • - tripomine levels- cardiac enzymes
  7. What is pleurisy?
    - inflammation of pleural layers- usually with another pathology
  8. What is the decription of pleural pain (pleurisy, pericarditis, pneumothorax)
    - close to rib cage
  9. What is the pain distribution of pleural pain?
    - over area that is affected
  10. What are aggravating factors for pleural pain?
    • DB, C, laughing
    • hiccuping
  11. what is a relieving factor for pleural pain?
    wound support
  12. What are possible further investigations that can be done for pleural pain?
    • - elimination of other possibilities
    • - CXR
    • - pleural tap
  13. What is the description of mm pain (chest wall, vertebral jts, costal cartilage)?
    • - ache
    • - intermittent pain
    • - pin point area of pain
  14. What is the pain distribution of mm pain?
    • - specific
    • - local tenderness
  15. what are aggravating factors for mm pain?
    - movt
  16. What are possible further investigations for mm pain?
    - physical assessment
  17. what is the description of oesophageal pain (reflux, ingestion)?
    - burning pain
  18. What is the pain distrbution for oesophageal pain?
    • - same as cariac
    • - chest, radiates down arm, neck and shoulder
  19. What are aggravating factors for oesophageal pain?
    • - post food
    • - spicy food, hot, cold
  20. What are reliving factors for oesophageal pain?
    • - meds
    • - sitting up
  21. What further investigations can be conducted on oesophageal pts?
    - gastroscopy
  22. BB has example case studiesĀ 

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