USMLE Forum Archives - USMLE Step 2 CK - Not MI
Not MI
Jumana - 12-28-06 04:07
if chest pain is:
1. Positional...think percardits.
2. Pleuritic...think the 5 Ps
3. Tender...think costochondritis
These 3 criteria on top can not be MI.
Jumana - 12-28-06 04:07
if chest pain is:
1. Positional...think percardits.
2. Pleuritic...think the 5 Ps
3. Tender...think costochondritis
These 3 criteria on top can not be MI.
Page 1
#1
Re: Not MI
Jumana - 12-28-06 04:15 the 5 Ps:
Pneumonia
Pneumothorax
Pleurisy
Pericarditis
Pulmonary Embolus
#2
Re: Not MI bingousmle - 06-18-10 10:32 or there could be other accompanying features mentioned in a case of MI like
Hypotension or hypertension
Diaphoresis
Pulmonary edema and other signs of left heart failure
Fourth heart sound (S4),
systolic murmur secondary to mitral regurgitation
cool, clammy skin and diaphoresis in patients with cardiogenic shock
#3
Re: Not MI babbu5508 - 06-19-10 02:05 pericardial pain is predominantly felt below the sternum and/or below the ribs on the left side of the chest and, occasionally, in the upper back or neck. Breathing causes the lungs and heart to move in the chest and rub against the irritated pericardium, worsening the pain. Pain may worsen when patients lie down and may improve when they sit up and lean forward. Changes in position can increase or decrease pressure on and irritation of the inflamed pericardium.
#4
Re: Not MI bingousmle - 06-19-10 06:14 
posted by Jumana on 12-28-06 04:07
if chest pain is:
1. Positional...think percardits.
2. Pleuritic...think the 5 Ps
3. Tender...think costochondritis
These 3 criteria on top can not be MI.
if chest pain is:
1. Positional...think percardits.
2. Pleuritic...think the 5 Ps
3. Tender...think costochondritis
These 3 criteria on top can not be MI.
a close mimicker of the condition is gastroesophageal reflux disease and one has to keep a close vigil not to miss it.. it can be done by a close look at the HPI
#5
Re: Not MI babbu5508 - 06-20-10 04:38 pleuritic pain is usually sharply restricted to the ipsilateral chest wall or shoulder, cutaneous areas supplied by the involved intercostal or phrenic nerves, respectively. But perhaps the most singular feature of pleurisy is its unmistakable relationship to breathing movements. The pain may be variously described as “sharp,” “dull,” “achey,” sometimes “burning,” or simply a “catch,” but whatever its designation, it is worsened by taking a deep breath, and either coughing or sneezing causes intense distress
#6
Re: Not MI bingousmle - 06-30-10 18:34 one more mimicker can be esophageal spasm which can cause supremechest discomfort and is relieved with nitrates.. further work up is warranted
#7
Re: Not MI babbu5508 - 07-10-10 03:06 In an individual with chest pain radiating to the back, the differentials to consider include:
Aortic dissection
Myocardial infarction
Acute aortic insufficiency
Non-dissecting aortic aneurysm
Pericarditis
Musculoskeletal pain
Mediastinal tumors
Page 1