Case 2
A 55-year-old lady presents to the Emergency Department with a two hour history of chest pain.
She reports that it came on suddenly, is ‘like a pressure’ in nature, radiates to both shoulders and is associated with breathlessness. She has been getting similar pains over the preceding month which she has attributed to indigestion.
She has no risk factors for ischaemic heart disease or venous thromboembolic disease.
On examination she is tachycardic and tachypnoeic but has no other specific physical signs.
Her pain has settled by the time you assess her.
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Question 1 of 2
1. Question
List five conditions that should be considered in her differential diagnosis.
CorrectIncorrect -
Question 2 of 2
2. Question
Rank the features in her clinical assessment in order, from the highest to the lowest likelihood of AMI, where 1 is most likely and 5 is least likely.
Sort elements
- 1 most likely
- 2
- 3
- 4
- 5 least likely
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Radiation to right shoulder
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Radiation to both shoulders
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Description of pain as a pressure
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Association with breathlessness
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Tachycardia
CorrectIncorrect