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Details

LaRose Chest Pain Investigations
Test 4
13
Health Care
Professional
10/24/2012

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Cards

Term
ECG will show a shortened PR interval with a prolonged QRS complex
Definition
WOLF-PARKINSON-WHITE SYNDROME
Term
Chest x-ray may show apical cavitation/pulmonary infiltrates or bilateral hilar lymphadenopathy; acid, alcohol-fast bacilli will be found in the sputum [Ziehl Neelsen stain]; culture in Lowenstein Jensen medium for M. tuberculosis is diagnostic [6 weeks]. Middlebrook medium takes 2-3 weeks
Pleural effusion or bilateral hilar lymphadenopathy may be present
HIV testing should be recommended as AIDS may co-exist
Definition
TUBERCULOSIS
Term
None is needed (Investigation)
Definition
TIETZE’S SYNDROME
Term
Orthoneuro tests Springing [pushing on] T3 or 4 may result in the replication of the symptoms
Investigations Chest and cervical x-ray, CBC, ESR, EMG and nerve conduction are normal
Definition
T4 SYNDROME
Term
Chest x-rays are often normal but may show a wedge-shaped consolidation with a rounded convex apex directed towards the hilum of the middle or lower lobes of the lung suggesting a pulmonary infarction [Hampton’s hump]
Spiral CT scans with intravenous contrast is considered the best screening test
Lung scan: ventilation/perfusion mismatch, Angiography is the gold standard
Definition
PULMONARY EMBOLISM
Term
Orthoneuro tests Sternal compression might cause pain if there is an associated rib fracture
Investigations Chest x-ray will show air in the pleural space and outline of the collapsed lung
Definition
PNEUMOTHORAX
Term
Chest x-ray will show segmental infiltrate with an air-bronchogram in the region of the affected lobe or lobes
Definition
PNEUMONIA
Term
ECG findings include the following: PR depression ST elevation T wave inversion
CBC will show a leukocytosis; ESR will be elevated
Definition
PERICARDITIS
Term
EKG will show diagnostic features: ST elevation there may be ST depression occasionally T inversion occurs later Pathological Q waves
CK-MB and Troponin 1 will raised followed by SGOT and then LDH
CK-MB is elevated up to 3 day; Troponin will remain elevated up to 7 days
Definition
MYOCARDIAL INFARCTION
Term
Diagnosis is confirmed by echocardiography
Definition
MITRAL VALVE PROLAPSE
Term
Look for hidden neoplasia: Chest x-ray, Prostatic Specific Antigen, Fecal Occult Blood, CarcinoEmbryonic Antigen and HIV/ELISA
Definition
HERPES ZOSTER
Term
Exercise EKG may show ST depression during an acute episode
The Q wave and T waves are normal
There may be raised serum Cholesterol and Triglycerides as risk factors
Definition
ANGINA PECTORIS
Term
Orthoneuro tests The “Wince sign” will be positive each time they are touched during the exam
Investigations No test is specific for diagnosing this condition currently
Definition
Fibromyalgia
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