WorksheetsApproaching Chest Pain
Total questions: 14
Worksheet time: 7mins
52 F, 3/7 hx of chest pain and SOB, "feels like a stitch"
B/G Breast cancer in remission, last treatment 2/12 ago
HR 112, RR 18, sats 97% RA
Radiation pneumonitis
Anxiety
Pneumothorax
PE
88 F, 2/24 hx central chest pain radiating to back, 10/10
Unrelieved by GTN, requiring IV fentanyl
B/G HTN, hypercholesterolaemia, GORD
Aortic Dissection
Reflux
MI
Borehaave Syndrome
24 M 1/7 pleuritic chest pain, worse on lying down, "had my booster 5/7 ago"
ECG: Widespread STE and PR depression
PE
Myopericarditis
STEMI
MSK Pain
28 F, 1/24 hx retrosternal chest pain
14/40 pregnant, hyperemesis gravidarum
Subcut emphysema present
Pneumothorax
Borehaave Syndrome
PE
MSK Pain
55 M - 5/24 L) sided chest pain, SOB, diaphoresis
Tried to go to work, sent in by boss
Nil PMHx
GORD
Costochondritis
STEMI
Pneumonia
21 F, passenger in MVA hit on passenger side c/o R) sided chest pain and SOB
Haemodynamically unstable and appears very anxious
Costochondritis
Haemothorax
Tension pneumothorax
Bruised ribs
73 M, 2/7 hx R) lower rib pain radiating across and around to the back
B/G Prostate cancer on chemo
Requiring PO opiates
Area looks "a little red"
Pneumonia
Aortic dissection
Radiation pneumonitis
Shingles
19 M 2/7 increasing SOB and tearing R) sided chest pain
B/G Asthma
Favourite hobby: Smoke bongs
Pneumothorax
Asthma attack
Pericarditis
Pleurisy
36 M, 4/7 L) sided chest pain and epigastric pain, assoc nausea and vomiting
Been on a bender (again)
ECG and CXR NAD
Gastritis
Pericarditis
Aspiration pneumonia
Pancreatitis
67 F, 12/24 L) sided chest pain radiating to L) arm and jaw
B/G HTN, hypercholesterolaemia, 2x stents insitu with known TVD
ECG: NSR
STEMI
GORD
NSTEMI
Oesophageal rupture
44 M, Penetrating stab wound to chest wall, knife removed by patient
"Not a bikie"
Muffled heart sounds, distended neck vessels, hypoTNive
Cardiac tamponade
Superficial laceration
Tension pneumothorax
Borehaave Syndrome
17 M 1/12 hx central chest pain and SOB
African ethnicity
42 degree day, decided it would be a good day to run his first half marathon
Heat stroke
MSK Pain
Sickle Cell Crisis
Asthma
78 M 4/7 dull, mildly pleuritic, R) sided chest pain + fevers + productive cough with yellow sputum
ECG: NSR
T 39.0
Wells 0
PE
Pneumonia
URTI
Costochondritis
19 M, Cat 1 post MVA c/o severe L) sided chest pain and SOB
Paradoxical chest wall movements
Sats 82% RA, RR 31, palpable bony crepitus
Haemothorax
Cardiac tamponade
Rib fractures
Flail chest
