let us talk differential diagnosis for one week or - djyoti

[ArchivalUser]

chest pain

angina due toischemia
mi due to infarction
pericarditis
myocarditis
valvular ht disease
cardiomyopathy

aorta; aortic rupture trauma or aneurysm due to htn

gerd esophagitis achalasia hiatus hernia
gastritis

pleuritis
pleural effusion
pneumonia
bronchiectasis
PE


tietz syndrome

muscle strain
muscular strain
breast pain

mondors disese
cholecystitis

now tell the classic signs of each with minimum sentence

[ArchivalUser]

r u in india can we interact my exam is on 17 march whats ur yahoo id

[ArchivalUser]

angina is pain at strain relieves with rest and remains less than 15 mt

pringmetal angina occurs in the morning even at rest in women even st depression is there but transient

unstable angina is recent severe angina or worsenimg angin which will need heparin

mi is sever pain more than 3o mtand doesnot go away ecg and enzymes change ecg will show st elevation

tropinin is first and remains more than ckmb which also comes from uterys'

if ck is on 5 days it is anew mi

ther can be silent mi in women and diabetics

there can be st depression mi in posterior infarction

all other cardiac causes can be confusedwith mi but echo and ecg and cath can help

aortic rupture pain is so sever that pt can say it is the chest pain of his life goes to back may die ther a then if comes to hospital it is contained pt may give hx of htn, rx is maintain bp

if aortic rupture with trauma you have todiifferenciate from pnemo and cardic contusion

blood may track don and block coronary orifices and cause ischemia or trickle into cardidac sac and cause tamponade

tampo will be with beck triad 3d distended neck vein. distat ht sound tachycardiaand hypotension otherfeature will be pulsus paradoxus alternans ekg wiill show rt atrium is kind of empyt and bottle shaped ht big ht

in case of rupture aorta wide mediastinum left bronchus pushed down aortic knob is absent pleuralcap. spiral ct is good practical tool aortography is goldstandard but invasive


myocarditis can occur after urti and is viral and can be associted with myopathyrx is nsaid
myocarditis will have enzyme change and st change

pericarditis can bacterial tb viral coxsackie virus toxin uremia autoimmune usmle inflammatory rheumatoid drugs doxorubicin

pericarditis pain is positional pain is more in supine position pulsus alternans inspirational increment in jvp st elevation in diffuse manner

rx can be simple like nsaid or rx of the cause or even dilysis for uremicpericarditis tb rx for tb pericardiotomy for constrictive pericarditis

[ArchivalUser]

pericarditis has pericardial rub and pericardial knock and positional pain'

cardiopathy can come with sudden athletes chest pain and scd sudden cardiac death with afamily history or can come with ischemic pain or mi or can come systolic or distolic dys function of ht failure.

valvular diseases can come with murmur endocarditis with fever fatigue chest pain and with all autoimmune and vasculitis phenomenon

u have stress test thallium test dipyridomle test ecg echo duplex echo cardiac cath angio cxr as dignostic tool in cardic of corse cardiac engymes and not forget creatinine and electrolyte as electrolyte can cause arrythmia and arrythmia can cause cardic problem

pulmonary chest pan will coum with productive or non productive cough with airway hyperreactive disesa or emphysema sputmm hemotypsis wheezing in lower tract stridor in upper tract wheegin and dyspnoea are onepiration in copd bronchitis pt are obese or bulky and emphysema pt are thin barrel chest fatigued and anorexia the former blue blooter and emphysema one is pink puffer because of hypoxia erytropoitin hb o2 saturation response.
these guys are mostly smoker dlco or diffusion capacity is decreased in emphysema a diferanciating point from bronchitis. athma pt throw out too much co2 and are with respiratory alkalosis but copd can come with both presentation however mostly they retain co2 and generally they have respratory acidosis with metaboli alkalosis component due to compensation.

astma is a eversible reactive airways disesse, if methacholine challange test does not reproduce asthma then that is not a asthma.

lok for stress factor exersise emotion for asthma.

[ArchivalUser]

useful if you can read

[ArchivalUser]

mechanism of pericardial knock ??

[ArchivalUser]

good question as usual raskolnikov

good luck when is your exam?