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Presentations Flashcards

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1
Q

A 60 year old man comes in with a history of tight chest pain for 4 hours, accompanied by nausea, sweating, breathlessness.
He has a history of HTN and DH of amlodipine
What investigations would you order?

A

ECG
Troponin - +ve = coronary angiography
Echocardiography

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2
Q

What different systems can be affected in a presentation of chest pain?

A

Cardiac
Respiratory
GI
Musculoskeletal

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3
Q

What are the cardiac DDx of chest pain?

A

IHD (ischaemic heart disease)
Aortic dissection
Pericarditis

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4
Q

What are the respiratory DDx of chest pain?

A

PE
Pneumonia
Pneumothorax

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5
Q

What are the GI DDx of chest pain?

A

Oesophageal spasm
Oesophagitis, gastritis
Peptic ulcers
Oesophageal/gastric perforation

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6
Q

What is the main MSK DDx for chest pain?

A

Costochondritis
(also obvious trauma)

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7
Q

A 60 year old man with tight chest pain, nausea, sweating, HTN and is on amlodipine has examinations done with a temperature of 37, HS: S1+S2, normal BP, clear chest exam and soft, non tender abdomen.
What is the most appropriate next investigation?

A

ECG

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8
Q

Which artery is occluded in an anterior MI?

A

Left anterior descending

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9
Q

In which leads would you see changes in an ECG of someone with an anterior MI?

A

V1-V4

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10
Q

Which artery is occluded in a lateral MI?

A

Circumflex

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11
Q

In which leads would you see changes in an ECG of someone with a lateral MI?

A

V5, V6, I, aVL

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12
Q

Which artery is occluded in an inferior MI?

A

RCA

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13
Q

In which leads would you see changes in an ECG of someone with an inferior MI?

A

II, III, aVF

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14
Q

What is the most likely cause of collapse?
Aortic stenosis
Pulmonary embolism
Postural hypotension
Seizure
Tachyarrhythmia

A

Tachyarrhythmia

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15
Q

What are the DDx of collapse?

A

Hypoglycaemia
Vasovagal
Arrhythmia
Outflow obstruction
Postural hypotension
Seizure

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16
Q

What is long QT syndrome?

Year 3
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