CLINICAL MEDICINE

MEDICINE

CARDIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
You are treating a 67 year old male complaining of chest pain. He rates the pain at a 10/10 and describes the pain as a tearing sensation that he also feels in his back and shoulders. Your assessment reveals that the patients blood pressure is 30mmHg lower in his left arm than his right arm. You should suspect:
A
Left ventricular heart failure
B
Acute pulmonary embolism
C
Acute myocardial infarction
D
Acute aortic dissection
Explanation: 

Detailed explanation-1: -First aid for someone experiencing chest pain Calm the person down and help them to rest, for example in a semi-seated position. Call 112 immediately. If the person is carrying their own nitrate medication (Nitro®), help them to take it. If the medication does not help within a few minutes, call 112.

Detailed explanation-2: -Immediate action required: Phone 999 immediately if: You or someone else has symptoms like: central chest pain or discomfort in the chest that doesn’t go away – it may feel like pressure, tightness or squeezing. pain that radiates down the left arm, or both arms, or to the neck, jaw, back or stomach.

Detailed explanation-3: -Diagnostic tests Nurses should anticipate and advocate with their medical colleagues for definitive tests (serial troponin tests, 12-lead ECG, and cardiac catheterization). The most significant sign for definitive diagnosis of an MI is a positive troponin test with ST changes in at least two contiguous leads.

There is 1 question to complete.