CMN 574 - Exam 1 with verified detailed solutions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
MSK chest pain - correct answer✔✔- Most common cause
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- Muscle strain / costochondritis
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- Broken rib
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- Herpes zoster
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- Fibromyalgia, SSC
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- Chest wall contusion
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- Protracted vomiting
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-Young active pt - sports w/lifting ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
MSK chest pain RF - correct answer✔✔- Trauma
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- Overuse
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- Hx chicken pox
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MSK chest pain S/S - correct answer✔✔- Gradual onset of sharp-dull
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- More localized [can point with finger]
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- Arm movement / deep inspiration [reproducible]
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MSK chest pain DX - correct answer✔✔No tests unless trauma = XR
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MSK chest pain TX - correct answer✔✔- Rest
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- NSAIDs
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- Ice/Heat
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, GI chest pain - correct answer✔✔- 2nd common cause
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- GERD
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- Esophagitis / spasm
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- PUD
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- Hiatal hernia
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- Gallbladder
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GI chest pain RF - correct answer✔✔Hx of ulcers, smoking, ETOH, NSAIDS/ASA (ask about
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OTC meds) ||\\//||
GI chest pain S/S - correct answer✔✔- Recurrent [min-hr] of substernal burning pain
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- Esophageal spasm = squeezing/pressure
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- PUD = epigastric to back (worse with meals / supine)
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- Pain with palpation [epigastrium]
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GI chest pain DX - correct answer✔✔- Test for h.pylori
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- EGD
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GI chest pain TX - correct answer✔✔- PPIs
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- ABX [h. pylori]
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- Diet
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- Elevate HOB
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Pysch chest pain - correct answer✔✔- 3rd common cause
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- Stress-related
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- Panic attack
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MSK chest pain - correct answer✔✔- Most common cause
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Muscle strain / costochondritis
||\\//|| ||\\//|| ||\\//|| ||\\//||
- Broken rib
||\\//|| ||\\//||
- Herpes zoster
||\\//|| ||\\//|| ||\\//||
- Fibromyalgia, SSC
||\\//|| ||\\//||
- Chest wall contusion
||\\//|| ||\\//|| ||\\//||
- Protracted vomiting
||\\//|| ||\\//||
-Young active pt - sports w/lifting ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
MSK chest pain RF - correct answer✔✔- Trauma
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- Overuse
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- Hx chicken pox
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MSK chest pain S/S - correct answer✔✔- Gradual onset of sharp-dull
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- More localized [can point with finger]
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Arm movement / deep inspiration [reproducible]
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
MSK chest pain DX - correct answer✔✔No tests unless trauma = XR
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
MSK chest pain TX - correct answer✔✔- Rest
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- NSAIDs
||\\//||
- Ice/Heat
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, GI chest pain - correct answer✔✔- 2nd common cause
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- GERD
||\\//||
- Esophagitis / spasm
||\\//|| ||\\//|| ||\\//||
- PUD
||\\//||
- Hiatal hernia
||\\//|| ||\\//||
- Gallbladder
||\\//||
GI chest pain RF - correct answer✔✔Hx of ulcers, smoking, ETOH, NSAIDS/ASA (ask about
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
OTC meds) ||\\//||
GI chest pain S/S - correct answer✔✔- Recurrent [min-hr] of substernal burning pain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Esophageal spasm = squeezing/pressure
||\\//|| ||\\//|| ||\\//|| ||\\//||
- PUD = epigastric to back (worse with meals / supine)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Pain with palpation [epigastrium]
||\\//|| ||\\//|| ||\\//|| ||\\//||
GI chest pain DX - correct answer✔✔- Test for h.pylori
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- EGD
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GI chest pain TX - correct answer✔✔- PPIs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- ABX [h. pylori]
||\\//|| ||\\//|| ||\\//||
- Diet
||\\//||
- Elevate HOB
||\\//|| ||\\//||
Pysch chest pain - correct answer✔✔- 3rd common cause
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- Stress-related
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- Panic attack
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