Card Set Information
What are the classic sx of chest pain?
Crushing substernal pain or abdominal pain
Sx last longer than 15-20 minutes
What are important PMH to know with a pt presenting with CP?
HTN, DM, Cholesterol, Tobacco, Obesity, Drugs use/abuse
What are clinical findings on PE for CP?
What are the three kinds of angina discussed?
Rest angina - Pain >20 mins
New Onset - severe pain within 2 months of presentation. Marked decrease in PE
Increasing - Previously dx angina which is worsening
What is the DDx for CP?
What are the DEADLY SIX?
What are the serum markers in CP?
Myoglobin - from muscle
CK-MB - from death of muscle
Troponin - from myocardial injury
What are the most common presenting sx for AMI?
26% - initial Cxr
54% - SOB
14% Abdominal Pain
How do we treat an AMI?
100% low flow O2
Heparin, LMW Heparin, Clopidogrel
Complications of AMI
Diastolic dysfunction - pulmonary congestion --> shock
Systolic dysfunction - diminished cardiac output -->shock
Mechanial Complications (wall rupture, pericarditis, thrombus)
How do we treat Pulmonary Edema?
How do we classify aortic dissections?
Standford A/Debakey I-II - surgical
Standford B/Debakey III - Medical
What will find on exam with a pneumothorax?
Decreased breath sounds
What will we find on an EKG with a PE?
S1, Q3, T3
most common ST, R-Axis deviation
What hallmarks can we see on CXR with PE?
Westermark - cutoff Pulmonary Artery
Hamptons Hump - Pleural based wedge
What is the gold standard for Dx of PE?
What is a classic presentation of Pericarditis?
sharp, pleuritic pain
most severe in supine position
better when patient sits or leans forward
What will pericarditis look like on EKG?
Diffuse ST elevations