Fever and Chest Pain

Author: Jack Perkins, MD (Click HERE for disclosures) and Stephen Liang, M.D. (Click HERE for disclosures, and HERE for CME Committee Disclosures)
 

To obtain CME Credit: 1) Register for CME benefits through antimicrobe.org, 2) read, reflect, and complete the online monograph “Fever and Chest Pain” and fax completed test questions and evaluation to 937-208-2621, attention “Antimicrobe CME Coordinator.”  Users who are not registered to apply for CME credit must click HERE for an application and cost information.  CME certificates will be sent via email within 7 days of submission.  To view online chapters, you will need Internet Explorer 6, Firefox 2, Safari 2 or newer; and "Cookies" enabled in your browser. You must have access to a printer and fax machine to obtain credit.

 

This chapter’s estimated time of completion is 120 minutes.

 

Monograph release date: 7/1/2010                         Monograph expiration date: 12/31/2011          

             

Click HERE for Antimicrobe.org disclosure information, CME charges, privacy statement, and other administrative information. To view the Wright State University Privacy Statement, click HERE.

CME Objectives:

1.  Recall that fever and chest pain can be caused by both infectious and non-infectious etiologies.
2.  Recall the clinical approach to fever and chest pain.

CME Questions:

1.  True  False 

Fever and chest pain is always infectious in nature?

2.  Which chest pain syndrome may occur in patients with sickle cell disease?
 

a. Lemierre’s syndrome
b.  Acute Chest Syndrome
c.  Raynaud’s syndrome
d.  All of the above

3.  True False

A rasping sound auscultated over the precordium with each heartbeat, known as Hamman’s sign, signifies mediastinal emphysema can be seen with an esophageal rupture

4.  Which of the following is typical of pericarditis
 

a.  upward concave ST-segment elevations with reciprocal ST-segment depressions in aVR and V1
b.  diffuse T-wave inversions late in the disease
c.  Elevated sedimentation rates
d.  All of the above

5.  True  False
 

Fever and chest pain can often be managed as an outpatient thus avoiding hospital admissions.

6.  Unilateral chest pain associated with a linear vesicular rash is typical of?
 

a.  Candida soft tissue infection
b.  Herpes zoster
c.  Varicella zoster
d.  Cellulitis
 

CME Evaluation

 

1.   Did this monograph help you identify fever and chest pain criteria and understand the differential diagnosis?                                                                                                 Yes         No

2.   Do you now understand that fever and chest pain can be caused by both infectious and non-infectious etiologies?                                                                                                 Yes         No

3.   Was timely and will influence how I practice?                                        Yes         No

4.   Will help me improve my patient care?                                                  Yes         No

5.   Was free of commercial bias?                                                                Yes         No

a.       If no, explain:__________________________________________________

Name: ________________________________________________________________

Address: ______________________________________________________________

Address: ______________________________________________________________

City: _________________               State: _____________________ Zip: ____________

Phone Number: (____)________________  Email Address: _______________________

CME Credits Claimed________________

 

 

Wright State University (WSU) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This educational activity is awarded a maximum of 2 category 1 credits toward the AMA Physician's Recognition Award. Each physician should only claim credit for time that he/she spent in the activity.

 

 

Wright State University

Department of Medicine

C/O CME Coordinator

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CHE Bldg 2nd Floor

Dayton, Ohio 45409

937-208-2621