Approach to a patient with Chest pain in ED

63 year old chinese patient came in with complain of chest pain, Dr. Waziri will ask the following important questions : (multiple answers)
What is the color of your urine
When did the pain start
What is the nature of the pain and does it radiate anywhere
Does it hurt more upon breathing or any other activity
Do you use medical insurance
Are you married
How bad is the pain and what else do you feel
How severe is your pain on a scale of 0-10
The following are emergent conditions causing chest pain EXCEPT
Myocardial Infarction
Esophageal reflux
Panic disorder
Pulmonary Embolism
Aortic dissection
Dr Lumuliko attends to a 69 year old patient who complains of crushing pain on the center of his chest radiating to the jaw, it started 30 minutes ago at his workplace, check all the important risk factors that are applicable to this patient that needs to be asked in the history
Do you smoke or have a history of smoking
Are you diabetic or hypertensive
Any history of gallstones or urinary stones
Previous visit to a witchdoctor
History of previous heart attack
Time involved in physical activty
Age when she got married
History of sudden death in family
History of dyslipidemia
Any history of abortion
Chest Pain can be caused by different organ relate pathology, pick one organ which is more indicative in relation to the characteristics describe: 
 
Central, crushing, radiating to Jaw, neck, left arm, associated with excessive sweating
Pulmonary
Gastric
Pancreatic
Heart
Sharp pricking sensation, localized, worsened on breathing in
Pulmonary
Gastric
Pancreatic
Heart
Lower sternal, burning sensation, worse on lying flat, associated with nausea
Pulmonary
Gastric
Heart
Cervical spine
Excruciating ripping pain of sudden onset, anterior chest radiating to the back
Pulmonary
Vascular
Musculoskeletal
Infectious
Dr Reinfrida is attending a 57 year old Male patient with Chest pain which started 15 minutes prior to arrival, he is now presenting with shortness of breath and diaphoresis, his vital signs BP 139/86 HR 69, SPO2 86, RR 32, Temp 37, which of the following management is most appropriate
Transfer patient to CCU
O2 support, IV access, ECG
IV Access, Troponin, wait for results then consult Cardiology
Give Aspirin 75mg + Clopidogrel 75mg
Give Aspirin 300mg, Clopidogrel 300mg and Atorvastatin 80mg
Dr Musa is attending a patient who is vitally stable, but is complaining of chest pain. Which of the following is appropriate and useful in the emergency department to reach a diagnosis (multiple answers)
History taking, including allergies and current medications
Cardiac markers
Stool for Salmonella antigen and H.Pylori
ERCP
12 Lead ECG
Point of care ultrasound
Urine electrolytes
Liver function
A 25 year old athlete, known HIV patient on TLD for the past 2 years comes to the ED at 3.00am complaining of severe left sided chest pain that he is unable to sleep, Vitals on triage are stable. Dr Gloria assesses this patient and Primary survey is unremarkable except for the rashes as shown in the image, what is the most likely cause of his chest pain
A 66 year old diabetic woman who is a chronic smoker comes to the department wheeled in, Dr Nice attends this patient and vital signs are BP 209/101, HR 102, SPO2 95, Temp 36.5, RR 16, RBG 10 mmol/l, patient complains of gaseous and bloating sensation, associated with some chest discomfort unable to describe the characteristics, Primary survey is unremarkable, IV access and blood sample has been collected, what is the next most appropriate management?
Give Labetalol 10mg first
Send the patient for Chest X-ray
Give Insulin 10 IU Subcutaneously
ECG
Ask the nurse to prepare the patient for Cathlab
Give IV Paracetamol 1gm
Dr Valentino and Dr Shivangi attend a 58 year old male, who is rushed in by the ambulance from home, he is restless, complaining of sudden onset of tearing pain on the chest, with radiation to the back, Vital signs BP 186 / 86 , HR 112, Temp 36, SPO2 96, RR 20. ECG was unremarkable, which of the following would aid in diagnosos
Troponin and CK MB
BP on contralateral arm and Point of care USS
Urine dipstick
Posterior ECG
Right sided ECG
0
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