Term
Squeezing precordial pain precipitated by stress, exertion or excitement and relieved by rest; a typical attack lasts less than 10 minutes
The pain may radiate into the neck or down along the inner aspect of the arm [usually the left] and even into the hand
Levine’s sign [clenched fist over the region of the heart] may be positive
Some patients may have a diagonal crease in the ear lobe |
|
Definition
|
|
Term
| Prodrome of unilateral chest, face or abdominal pain followed by the appearance of a vesiculopustular rash along a dermatome |
|
Definition
|
|
Term
Atypical chest pain [unrelated, exertion, stress respiration or movement], palpitations and fatigue
Mid-systolic |
|
Definition
|
|
Term
Crushing substernal pressure or precordial heaviness lasting for 30 minutes or more, radiating to the jaw and into the left arm, associated with sweating and a sense of apprehension and dyspnea, precipitated often by exertion, eating, exposure to cold or emotional stress
Remember that females may present differently than men; often complaining of epigastric discomfort or pain in the throat instead of chest pain
Levine’s sign [clenched fist over the region of the heart] will be positive
Note that diabetic patients often do not experience any chest pain because of autonomic neuropathy; similar picture with heart transplant |
|
Definition
|
|
Term
Precordial chest pain that is made worse on lying down
It is relieved by sitting up and leaning forward; there will be a friction rub |
|
Definition
|
|
Term
| Sudden onset of fever, chills, shortness of breath and sticking chest pain with flaring of the nasal ala, increased respiratory rate, tachycardia with crackles, increased tactile fremitus and egophony over the affected area |
|
Definition
|
|
Term
| Acute dyspnea and chest pain with unilateral hyper-resonant percussion note |
|
Definition
|
|
Term
| May cause sudden onset of a triad with shortness of breath, associated with pleuritic chest pain, hemoptysis and tachycardia; sense of impending doom with sweating. Homan’s sign may be positive if there is a DVT in the leg |
|
Definition
|
|
Term
Complaints may include unilateral or bilateral upper chest or thoracic pain, paresthesia and/or vague pain in one of both upper extremities in a glove-like fashion that can involve only the hand, hand and forearm or the entire arm
In addition, some patients may complain of headaches, difficulty in breathing, swelling of the upper extremity or weakness of grip |
|
Definition
|
|
Term
Tender swollen area in the costochondral junction; there is no redness nor warmth
If the area is not swollen the condition is referred to as costochondritis |
|
Definition
|
|
Term
Fever, night sweats, chronic cough, hemoptysis along with fatigue and weight loss; there may be chest pain and may present with dyspnea if there is an associated pleural effusion [stony dull percussion note and absent breath sounds over the effusion]; apical crackles and bronchial or cavernous breathing may be present
There may be spinal tenderness |
|
Definition
|
|
Term
| Usually asymptomatic; however it may present with discomfort in the chest, palpitations, tachycardia and an irregular heart rate, shortness of breath and even fainting |
|
Definition
| WOLF-PARKINSON-WHITE SYNDROME |
|
|
Term
ACR Diagnostic criteria: >3 months of widespread pain plus:
11 out of 18 possible tender points around the neck, shoulder, anterior chest, elbow, lower back, hip and knees |
|
Definition
|
|
