Notes in 10 Chest Pain

To Subscribe, use this Key

Status	Last Update	Fields
Published	11/02/2024	{{c1::Diastolic}} murmurs are pathologic until proven otherwise
Published	11/02/2024	Is a physiologically split S2 benign?
Published	11/02/2024	In a split S2, the {{c1::aortic}} valve closes first and the {{c1::pulmonic}} valve closes second
Published	11/02/2024	The P-wave corresponds to the {{c1::depolarization of the atria}}
Published	11/02/2024	The PR interval corresponds to the {{c1::time from stimulus of atria to stimulation of ventricle}}
Published	11/02/2024	What is the QT segment?
Published	11/02/2024	TP segment corresponds to the {{c1::delay b/w ventricle repolarization and initiation of the next P wave}}
Published	11/02/2024	If a patient has {{c1::bradycardia}}, you should immediately have {{c2::AV blocks}} on your differential
Published	11/02/2024	1st degree AV Block
Published	11/02/2024	2nd degree type I AV Block
Published	11/02/2024	2nd degree type II AV block
Published	11/02/2024	3rd degree AV block
Published	11/02/2024	What is a telltale sign of a 3rd degree AV block?
Published	11/02/2024	Atrial Fibrillation
Published	11/02/2024	Atrial Flutter
Published	11/02/2024	Pleuritic v.s. Non-pleuritic chest pain
Published	11/02/2024	Most {{c2::right}} sided murmurs will increase in intensity with {{c1::inspiration}}
Published	11/02/2024	What's the most common murmur you'll hear?
Published	11/02/2024	Diastolic murmurs are always {{c1::pathologic}}
Published	11/02/2024	{{c1::S3}} is a pathognomonic sign for congestive heart failure
Published	11/02/2024	What causes a physiologically split S2?
Published	11/02/2024	Heart murmur grading:Grade I: {{c1::barely audible }}Grade II: {{c1::soft}}Grade III: {{c1::moderately loud with no thrill}}Grade IV: {{c1::loud …
Published	11/02/2024	Define and characterize an innocent murmur{{c1::a harmless murmur often heard in childrencharacterized as a short, grade I or II systolic ejection mur…
Published	11/02/2024	Cardiac listening postsAortic Valve – {{c5::Aortic post – right second (2) intercostal space, right sternal border}} Pulmonic Valve – {{c4::Pulmonic p…
Published	11/02/2024	A normal PR interval is between {{c1::120}} and {{c1::200}} msA normal QTc interval is typically between {{c1::420}} and {{c1::460}} msA normal QRS co…
Published	11/02/2024	WPW is characterized by the presence of {{c1::a delta wave (pre-excitation wave)}}.
Published	11/02/2024	what are the 5 systems that can produce differentials for non-cardiac chest pain?{{c1::pulmonaryGImusculoskeletalskinpsychological}}
Published	11/02/2024	common or concerning symptoms related to chest pain:{{c1::SOBexertional complaintspalpitationsfainting/near fainting (syncope)edema orthopneahemo…
Published	11/02/2024	pulmonary differentials related to non-cardiac chest pain:{{c1::PEpneumoniapneumothorax}}
Published	11/02/2024	GI differentials related to non-cardiac chest pain:{{c1::GERDbiliarypancreatitis}}
Published	11/02/2024	musculoskeletal differentials related to non-cardiac chest pain:{{c1::costochondritisstrainfx}}
Published	11/02/2024	skin differentials related to non-cardiac chest pain:{{c1::herpes zoster}}
Published	11/02/2024	psychological differentials related to non-cardiac chest pain:{{c1::panic disordersomatoform disorder}}
Published	11/02/2024	{{c1::Costochondritis}} – inflammation of the sternocostal joint; can be caused by viral URI, minor trauma, tenderness to palpation
Published	11/02/2024	{{c1::Panic Disorder}} – sudden episodes of intense fear or anxiety and the physical symptoms associated with those feelings
Published	11/02/2024	{{c1::Somatoform Disorder}} – a group of psychological disorders in which a patient experiences physical symptoms that cannot be fully explained or ar…
Published	11/02/2024	pressure + discomfort are seen in heart attack and usually last {{c1::30+ minutes}}
Published	11/02/2024	{{c1::diabetes}}, {{c1::hypertension}}, and {{c1::high cholesterol}} all increase the risk for heart disease/attack
Published	11/02/2024	{{c1::aortic dissection}} is damage to the aorta that causes an outer leak and has a near {{c1::100}}% mortality rate
Published	11/02/2024	if a patient has increased {{c2::BP}}, {{c2::HR}} and severe pain radiating to the {{c2::back}}, it is likely an {{c1::aortic aneurism}}
Published	11/02/2024	normal cxr vs {{c1::aortic dissection}}
Published	11/02/2024	{{c1::aortic dissection}}
Published	11/02/2024	stethoscope:diaphragm - high frequency sounds and {{c1::S1}}, {{c1::S2}} murmursbell - low frequency sounds, {{c1::S3}} murmur, {{c1::bruit}}, {{c1::m…
Published	11/02/2024	when the mitral and triscupid valves close during systole, it produces the {{c1::S1 "lubb"}} soundwhen the aortic and pulmonic valves close during dia…
Published	11/02/2024	A thrill can only be felt by {{c1::palpation}}. Grades {{c1::IV}}, {{c1::V}}, {{c1::VI}} should not only be listened to, but also {{c1::palpated}} to …
Published	11/02/2024	PVC: originates in the {{c1::ventricle}}; ventricles are contracting {{c1::earlier}} than they should; {{c1::larger}} and {{c1::widened}} QRS-complex
Published	11/02/2024	{{c1::pvc}}
Published	11/02/2024	{{c2::2nd degree type I}} bradycardia AV block is also known as {{c1::mobitz}} or {{c1::wenckebach}}
Published	11/02/2024	PAC: originates in the {{c1::atria}}; contains a {{c1::P-wave due to its atrial origin}} (quick depolarization of the atria following a previous …
Published	11/02/2024	{{c1::PAC}}
Published	11/02/2024	{{c1::Torsades de pointes}}
Published	11/02/2024	Torsades de pointes is seen on telemotry for {{c1::24}} hours
Published	11/02/2024	coffee can cause {{c1::PVC}}
Published	11/02/2024	an {{c1::EKG}} is a diagnostic test that is ordered almost always
Published	11/02/2024	stress causes an increase in {{c1::tropnin}} levels
Published	11/02/2024	a murmur b/w {{c2::S1 and S2}} is known as a {{c1::systolic}} murmura murmur b/w {{c2::S2 and S1}} is known as a {{c1::diastolic}} murmur
Published	11/02/2024	aortic stenosis and mitral regurg. are examples of a {{c1::systolic}} murmur
Published	11/02/2024	3rd degree AV block occurs because {{c1::the AV and SA nodes aren't communicating anymore}}
Published	11/02/2024	when there's no discernable rhythym on ECG/EKG, the diagnosis is {{c1::a-fib}} until proven otherwise
Published	11/02/2024	during {{c1::supraventricular tachycardia}}, the signal keeps cycling bw/ the AV node and SA node
Status	Last Update	Fields