PE III
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Retrosternal burning sensation After heavy meals and when lying down Sx relieved by antacids | GERD Esophagitis Peptic ulcer Esophageal spasm | ECG Barium swallow Upper endoscopy
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| Retrosternal squeezing pain Lasts for 2 min Occurs w/ exercise Relieved by rest and not related to food intake | Angina Esophageal spasm Esophagitis | ECG CXR CK-MB, troponin CBC, electrolytes Exercise stress test Upper endoscopy
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| Retrosternal stabbing pain Improves when leaning forward Worsens w/ deep inspiration Had URI 1 wk ago | Pericarditis Aortic dissection MI Costochondritis GERD Esophagreal rupture | ECG CXR, Chest CT CK-MB, troponin Echocardiography CBC Upper endoscopy
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| Stabbing pain Worsens w/ deep inspiration Relieved by aspirin Had URI 1 wk ago + chest wall tenderness | Costochondritis Pneumonia MI PE Pericarditis Muscle strain | ECG CXR CK-MB, tropnin CBC
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| Acute onset of SOB at rest Pleuritis CP tachycardia, hypotension, tachypnea, mild fever Long-term immobilization | PE Pneumonia Costochondritis MI CHF Aortic dissection | ECG CXR ABG
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| Sudden onset of severe CP Radiates to the back Hx of uncontrolled HTN | Aortic dissection MI Pericarditis Esophageal rupture Pancreatitis | ECG CKEMB, troponin CXR, MRI CBC, amylase, lipase TEE (transesophagreal echocardiography)
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| Sudden onset Substernal heavy CP Radiates to L arm dyspnea, diaphoresis, nausea | MI ERD Angina Costochondritis Aortic dissection Pericarditis PE | ECG CXR CK-MB, troponin CBC, electrolytes Echocardiography Cardiac catheterization
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