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Cardiovascular Exam - Coggle Diagram
Cardiovascular Exam
SOCRATES
Site
- Angina: retrosternal
- MI: retrosternal
- Aortic dissection: interscapular or retrosternal
- Pericardial pain: retrosternal or left chest
- Esophageal pain: retrosternal or epigastric
Onset
- Angina:
- MI:
- Aortic dissection: very sudden
- Pericardial pain: gradual, postural change may aggravate
- Esophageal pain:
Character
- Angina: constricting, heavy
- MI: constricting, heavy
- Aortic dissection: tearing or ripping
- Pericardial pain: sharp and stabbing
- Esophageal pain: burning, tight
Radiation
- Angina: neck, arms, epigastrium
- MI:
- Aortic dissection: back, between shoulders
- Pericardial pain: left shoulder or back
- Esophageal pain:
Associated features
- Angina:
- MI: sweating, nausea, vomiting, breathlessness, angor animi
- Aortic dissection:
- Pericardial pain: flu like prodrome, breathlessness, fever
- Esophageal pain:
Timing
- Angina: intermittent, episodes last 2-10min
- MI:
- Aortic dissection: acute, prolonged duration
- Pericardial pain: acute, variable duration
- Esophageal pain: intermittent, often at night, variable duration
Exacerbating / relieving factors
- Angina:
- MI: stress and exercise triggers; usually spontaneous; not relieved by rest or TNG
- Aortic dissection: spontaneous, no relieving factors
- Pericardial pain: lying down may affect intensity, NSAIDs help
- Esophageal pain: lying down / certain foods aggravate; rest does not help, nitrates may help
Severity
- Angina: mild to mod
- MI: usually severe
- Aortic dissection:very severe
- Pericardial pain: can be severe
- Esophageal pain: usually milkd but esoph spasm can mimic MI
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