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How would a pt describe cardiac ishemic pain?
- - cruching
- - like an elephant sittin on chest
- - comes on and gets worst
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what is cardiac pain usually a result of?
ischemia
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what is the pain distribution of cardiac pain?
- - chest
- - radiates to arm, shoulder and neck
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What are the aggravating factors of cardiac pain?
- - exercise and stress
- - activity
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What are the relieving factors for cardiac pain?
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What are possible futher invesitgations of cardiac surgery?
- - ECG
- - CKMB- death cells
- - tripomine levels- cardiac enzymes
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What is pleurisy?
- inflammation of pleural layers- usually with another pathology
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What is the decription of pleural pain (pleurisy, pericarditis, pneumothorax)
- close to rib cage
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What is the pain distribution of pleural pain?
- over area that is affected
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What are aggravating factors for pleural pain?
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what is a relieving factor for pleural pain?
wound support
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What are possible further investigations that can be done for pleural pain?
- - elimination of other possibilities
- - CXR
- - pleural tap
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What is the description of mm pain (chest wall, vertebral jts, costal cartilage)?
- - ache
- - intermittent pain
- - pin point area of pain
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What is the pain distribution of mm pain?
- - specific
- - local tenderness
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what are aggravating factors for mm pain?
- movt
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What are possible further investigations for mm pain?
- physical assessment
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what is the description of oesophageal pain (reflux, ingestion)?
- burning pain
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What is the pain distrbution for oesophageal pain?
- - same as cariac
- - chest, radiates down arm, neck and shoulder
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What are aggravating factors for oesophageal pain?
- - post food
- - spicy food, hot, cold
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What are reliving factors for oesophageal pain?
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What further investigations can be conducted on oesophageal pts?
- gastroscopy
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BB has example case studies
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