Chest Pain Champions
This cardiac condition is diagnosed with EKG and troponins and treated with MONA.
What is acute coronary syndrome (MI/unstable angina)?
Wheezing, dyspnea, and response to albuterol suggest this condition.
What is asthma exacerbation?
Low blood sugar can cause confusion and is treated with this IV medication.
What is IV dextrose for hypoglycemia?
Right lower quadrant pain with rebound tenderness suggests this surgical emergency.
What is appendicitis?
A child with fever and petechial rash should be treated immediately for this infection.
What is meningococcemia?
Sudden tearing chest pain radiating to the back suggests this vascular emergency.
What is aortic dissection?
Pink frothy sputum and crackles are classic for this cardiac emergency.
What is acute pulmonary edema/heart failure?
Sudden unilateral weakness and slurred speech suggest this neurological emergency.
What is ischemic stroke?
A positive pregnancy test with abdominal pain and dizziness suggests this diagnosis.
What is ectopic pregnancy?
This tick-borne illness causes fever, rash, and is treated with doxycycline.
What is Rocky Mountain spotted fever?
Sharp pleuritic chest pain with dyspnea and risk factors like recent surgery points to this diagnosis.
What is pulmonary embolism?
Fever, cough, and infiltrates on chest X-ray indicate this diagnosis
What is pneumonia?
Fever, tachycardia, hypotension, and altered mental status point to this systemic condition.
What is sepsis?
Severe epigastric pain radiating to the back with elevated lipase suggests this condition.
What is pancreatitis?
Wide-complex tachycardia with instability requires this intervention
What is synchronized cardioversion for unstable ventricular tachycardia?
A collapsed lung with tracheal deviation and hypotension requires this immediate intervention.
What is needle decompression followed by chest tube placement for tension pneumothorax?
Sudden hypoxia with risk factors like DVT suggests this diagnosis.
What is pulmonary embolism?
Pinpoint pupils and respiratory depression are signs of this overdose, reversed with naloxone.
What is opioid overdose?
Sudden severe abdominal pain with rigid abdomen and free air on X-ray indicates this emergency.
What is perforated viscus?
Sudden syncope in a young athlete may be due to this structural cardiac condition.
What is hypertrophic obstructive cardiomyopathy (HOCM)?
Name two non-cardiac causes of chest pain that can mimic ACS.
What are gastroesophageal reflux disease and musculoskeletal chest pain.
IM epinephrine is the first-line treatment for this life-threatening cause of shortness of breath.
What is anaphylaxis?
Severe hyponatremia can cause altered mental status; name one treatment option.
What is hypertonic saline or fluid restriction for hyponatremia?
Hypotension and pulsatile abdominal mass suggest rupture of this vessel.
What is ruptured abdominal aortic aneurysm?
Toxic epidermal necrolysis and mucosal involvement are hallmarks of this severe drug reaction.
What is Stevens-Johnson syndrome/toxic epidermal necrolysis?