It's Not the Heart, But it Still Hurts
I am a cause of well localized chest pain that is reproducible with palpation
Musculoskeletal (Costochondritis)
First line imaging for patients presenting with chest pain
EKG (+ CXR)
Elevated T waves indicates what electrolyte imbalance
Hyperkalemia
This antibiotic is used for empiric treatment of infective endocarditis
Vancomycin
Name the object in image 1
Dumbell
I can present with sharp, burning chest pain along a dermatomal distribution
Herpes zoster infection
First line imaging for pulmonary embolism
CT pulmonary angiography (CTPA)
Name the rhythm in image 1
3rd degree AV block
This drug is the first-line treatment for acute bradycardia and works by blocking parasympathetic input to the heart.
Atropine
Name the object in image 2
Light bulb
I am a sharp, well localized chest pain aggravated by breathing that classically presents with a deep sulcus sign on CXR
Spontaneous pneumothorax
First line imaging for endocarditis
Transthoracic echocardiogram
Name the rhythm in image 2
Torsades de pointes
Combining nitrates with this class of drugs can cause life-threatening hypotension due to extreme vasodilation
Phosphodiesterase-5 (PDE5) inhibitors
Name the object in image 3
Cucumber
I cause a severe, sudden-onset chest pain after forceful vomiting
Esophageal Rupture (Boerhaave Syndrome)
First line imaging for cardiac trauma
Focused cardiac US (FAST)
Name the rhythm in image 3
Brugada syndrome
This GI side effect is associated with verapamil and diltiazem
Constipation
Name the object in image 4
10.5 oz Nescafe jar
I am a chronic cause of burning, substernal chest pain and may present with water brash
GERD
First line imaging for aortic dissection
CTA of chest
This set of criteria is used to identify acute myocardial infarction in the setting of a left bundle branch block or paced rhythm, where standard STEMI criteria are unreliable
Sgarbossa's criteria
With chronic use, this drug classically cause ST-segment depression with a "scooped" appearance
Digoxin
Name the object in image 5
Eel