Chest pain, dyspnea and cyanosis

Classified in Other subjects

Written at on English with a size of 220.74 KB.

 

Chest pain, dyspnea and cyanosis

Semiology:

  • Type of pain
  • Location
  • Factors that trigger
  • Length
  • Relieving factors
  • Symptoms associated
  • Angina equivalents

Chest pain

Image1

  • Heart
  • Coronary
  • Acute: Unstable angina, SICA

Image2

* History and Physical Examination:

  • History: DM, hypertension, smoking, dyslipidemia, obesity, sedentary
  • Young patients: Use of cocaine
  • Semiology of pain
  • Physical Examination: Vital signs and initial cardiovascular status
  • Chronic: Stable angina
Noncoronary
  • Pericardium: Pericarditis, Stroke, Tumors
  • Inflammatory: myocarditis, valvular
No heart
  • Respiratory
  • Upper airway: Bonquitis, tracheitis, Tumors
  • Lower respiratory tract: pneumonia, atelectasis, abscesses, tumors
  • Pleura
No Respiratory Pneumothorax, stroke, tumor, Empyema
  • Trauma: Fractures, Bruises
  • Atraumatic: Inflammation, tumor

Cyanosis:

  • Central
  • Heart
  • ICC: acute, chronic
  • EPA acute water overload
  • Congenital: CIA, CIV, HTTP, Tetralogy
Noncardiac
  • Respiratory: VRA, VRB, Pleura
  • Not breathing: Mediastinal, Metabolic
Peripheral
  • Vascular (Traumatic)
  • Vascular Section
  • Flattening
No vascular (nontraumatic)
  • Cooling
  • Vasoconstriction

Dyspnea:

  • Symptom: subjective sensation of shortness of breath (breath awareness)
  • Not to be confused with signs
  • Hyperpnoea: Increased rate and depth of respiration
  • Or tachypnea tachypnea: rapid ventilation

    Image3

Types of breathlessness:
  • Acute Dyspnea:
  • Anxiety
  • Hyperventilation
  • Asthma
  • Chest Trauma
  • Pulmonary Edema
  • Pneumonia
  • Spontaneous pneumothorax
Chronic Dyspnea:
  • Respiratory
  • Cardiovascular
  • Systemic: Anemia
  • Psychogenic / Anxiety
  • Detraining
Classification
  • Cardiac Dyspnea: ICC, SICA, Pericardiopatias
  • No cardiac dyspnea:
  • Chest wall
  • Traumatic: Bruises, Fractures, Wounds
  • Atraumatic tumors, Inflammation
Respiratory: Laryngeal, bronchial, pulmonary, pleural Neurologic
  • Traumatic: TEC (Moderate, Severe)
  • Atraumatic: SNP (SGP, Other PNP)
Visual analog scale
  • 0 None
  • 10 Maxima
Borg Scale
  • 0 No dyspnea
  • 1 Very mild
  • 2 Leve
  • 3 Moderate
  • 5 Severe
  • 7 Very severe
  • 10 Maxima

Entradas relacionadas: