Shared Flashcard Set

Details

Non-Cardiac Chest Pain
Non-Cardiac Chest Pain
10
Nursing
Graduate
01/20/2013

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Cards

Term
onset and intensity of non-cardiac chest pain
Definition
abrupt pain with intensity greatest at onset
Term
onset and intensity of cardiac chest pain
Definition
Onset and intensity of pain develop more gradually
Term
onset and intensity of psychogenic chest pain
Definition
vague onset
Term
Which groups of patients have less typical symptoms of coronary artery disease
Definition
Women
Elderly
Diabetics
Term
What should the neck examination focus on in a pt with chest pain
(list of 3)
Definition
1) Presence of lymhadenopathy in cervical chains or supraclavicular fossa may = lung CA as source of pain
2) Elevation of neck veins = volume overload, possible CHF
3) Tracheal deviation = possible PE
Term
Reasons Cardiac stress test is less effective in women than in men
(list of 3)
Definition
1) less reliable in women than men
2) increased frequency of false-positive results in women
3) frequent failure to achieve target heart rates
Term
First-line method of diagnosing GERD as source of chest pain
Definition
High dose PPI BID for 1-2 months.
Good response is sufficient for GERD dx.
(Equal to or better than more invasive tests - 80% sensitivity, 74% specificity)
Term
Most common causes of noncardiac chest pain in primary care setting.
(list of 4)
Definition
1. Musculoskeletal
2. Gastrointestinal
3. Psychiatric
4. Pulmonary disease
Term
What pill is especially known to suggest pill-induced esophagitis
Definition
Alendronate (Fosomax)
Term
Effective treatment of psychogenic noncardiac chest pain. (2)
Definition
1. SSRIs
2. Cognitive-behavioral therapy
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