Non-Cardiac Causes of Chest Pain
I am a cause of well localized chest pain that is reproducible with palpation
Musculoskeletal (Costochondritis)
For patients presenting with chest pain
Elevated T waves indicates what electrolyte imbalance
Hyperkalemia
This is a harsh holosystolic murmur with a palpable thrill
Ventricular septal defect
This antibiotic is used for empiric treatment of infective endocarditis
Vancomycin
I can present with sharp, burning chest pain along a dermatomal distribution
Herpes zoster infection
For pulmonary embolism
CT pulmonary angiography (CTPA)
Name the rhythm in image 1
3rd degree AV block
This is the shape of the murmur due to aortic stenosis
Crescendo-decrescendo
This drug is the first-line treatment for acute bradycardia and works by blocking parasympathetic input to the heart.
Atropine
I am a sharp, well localized chest pain aggravated by breathing that classically presents with a deep sulcus sign on CXR
Spontaneous pneumothorax
For endocarditis
Transthoracic echocardiogram
Name the rhythm in image 2
Torsades de pointes
A delayed, rumbling, late diastolic murmur is indicative of this cardiac pathology
Mitral stenosis
Combining nitrates with this class of drugs can cause life-threatening hypotension due to extreme vasodilation
Phosphodiesterase-5 (PDE5) inhibitors
I am a chronic cause of burning, substernal chest pain and may present with water brash
Gastroesophageal reflux disease
For cardiac trauma
Focused cardiac US (FAST)
Name the rhythm in image 3
Brugada syndrome
This murmur may radiate to the axilla
Mitral regurgitation
This GI side effect is associated with verapamil and diltiazem
Constipation
I cause a severe, sudden-onset chest pain after forceful vomiting
Esophageal Rupture (Boerhaave Syndrome)
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
This murmur is associated with a teratogenic effect of maternal lithium use
Tricuspid regurgitation (Ebstein anomaly)
With chronic use, this drug classically cause ST-segment depression with a "scooped" appearance
Digoxin