Chest Pain
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This document provides information about chest pain, including its definition, common causes, symptoms, and guidelines for patient care. Chest pain can be caused by issues with the heart, lungs, esophagus, or other organs in the chest cavity. The physical examination and diagnostic tests are aimed at evaluating the chest, heart, and lungs to determine the underlying cause and appropriate treatment for the patient's chest pain.
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L4.approach to chest pain
This document provides information on evaluating and diagnosing chest pain. It begins by defining chest pain and noting that it is a common reason patients present for medical care. It then discusses the causes of chest pain and provides details on distinguishing ischemic from non-ischemic chest pain. Key factors for ischemic cardiac pain are discussed such as onset during exertion and relief with rest. The document provides guidance on evaluating a patient's chest pain by taking a thorough history addressing 10 specific points. Differential diagnoses for chest pain are also reviewed.
Chest pain
Chest pain can be cardiac or non-cardiac in origin. Cardiac causes include angina, myocardial infarction, and pericarditis while non-cardiac causes include pulmonary embolism, pneumonia, gallbladder disease, and musculoskeletal disorders. Characteristics of ischemic cardiac chest pain include a central, pressing or squeezing quality that radiates to the jaw/arm and is provoked by exertion. Differential diagnosis of chest pain requires evaluating characteristics like location, quality, duration and associated features to determine cardiac vs. non-cardiac etiology.
Chest pain
- Chest pain can be caused by cardiac or non-cardiac issues. Cardiac causes include angina and myocardial infarction, while non-cardiac includes muscle strain, pericarditis, esophagitis, and pulmonary embolism.
- Angina is chest pain or discomfort due to temporary lack of oxygen to the heart muscle, usually brought on by exertion or stress, and relieved by rest. Myocardial infarction is a more severe type of chest pain caused by cell death in the heart muscle due to an obstruction of blood flow.
- For a patient presenting with chest pain, the dentist should discontinue treatment, activate emergency support, monitor vitals, and provide definitive care such as oxygen
Chest Pain
This document discusses chest pain, its causes, symptoms, and characteristics. It begins with an introduction noting that chest pain can take many forms and sometimes radiates to other areas. The most serious causes involve the heart or lungs.
It then describes the locations, characteristics, and precipitating/relieving factors of chest pain from various potential sources. These include angina, myocardial infarction, costal cartilage issues, pulmonary embolism, pneumonia, and psychogenic causes.
Specific details are provided on diagnosing angina versus myocardial infarction based on pain location, duration, relieving/precipitating factors, and associated symptoms. A variety of cardiac, pulmonary, chest wall, and other potential non-cardiac causes
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Chest pain can be cardiac or non-cardiac in origin. Cardiac causes include angina, myocardial infarction, and pericarditis while non-cardiac causes include pulmonary embolism, pneumonia, gallbladder disease, and musculoskeletal disorders. Characteristics of ischemic cardiac chest pain include a central, pressing or squeezing quality that radiates to the jaw/arm and is provoked by exertion. Differential diagnosis of chest pain requires evaluating characteristics like location, quality, duration and associated features to determine cardiac vs. non-cardiac etiology.
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- Angina is chest pain or discomfort due to temporary lack of oxygen to the heart muscle, usually brought on by exertion or stress, and relieved by rest. Myocardial infarction is a more severe type of chest pain caused by cell death in the heart muscle due to an obstruction of blood flow.
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This document discusses chest pain, its causes, symptoms, and characteristics. It begins with an introduction noting that chest pain can take many forms and sometimes radiates to other areas. The most serious causes involve the heart or lungs.
It then describes the locations, characteristics, and precipitating/relieving factors of chest pain from various potential sources. These include angina, myocardial infarction, costal cartilage issues, pulmonary embolism, pneumonia, and psychogenic causes.
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1. Acute coronary syndrome can present with substernal chest pressure, pain radiating to the shoulders, or pain with exertion. ECG may show ST elevations or new left bundle branch block indicating AMI. Troponin and CK-MB elevations are needed to diagnose AMI.
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The patient is a 67-year-old male former smoker presenting with shortness of breath on exertion. Physical examination finds reduced breath sounds and wheezing. Tests show reduced lung function and oxygen levels. The differential diagnosis includes cardiac and pulmonary causes like COPD. Dyspnea is the medical term for shortness of breath and can result from various lung and heart conditions. Treatment focuses on the underlying cause, like using bronchodilators for COPD.
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Heart failure is defined as the inability of the heart to pump enough blood to meet the body's needs. It can be caused by structural or functional problems with the heart's ventricles. Heart failure is classified based on whether the left ventricle has reduced ejection fraction (systolic) or increased filling pressures (diastolic), and whether cardiac output is high or low. Treatment involves reducing preload and afterload on the heart through medications like ACE inhibitors, ARBs, beta blockers, and diuretics. More advanced treatments include CRT, VADs, heart transplantation, and surgical procedures.
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This document discusses the approach to evaluating a patient presenting with chest pain in a primary care setting. It emphasizes that the history is the most important factor in diagnosis, not investigations alone. It provides examples of several cases presenting with chest pain and the most likely diagnosis based on factors like the patient's age, medical history, characteristics of the pain, and findings on examination. Common life-threatening causes of chest pain are discussed along with the limitations of some diagnostic tests.
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1. Chest pain is a common complaint that can be caused by cardiac, respiratory, gastrointestinal, vascular, musculoskeletal and other issues. A thorough history and physical exam is needed to determine the underlying cause.
2. A careful differential diagnosis should be established to identify life-threatening issues like acute coronary syndrome, pulmonary embolism, or aortic dissection versus more benign conditions.
3. Appropriate tests and investigations should then be ordered based on the leading clinical diagnosis to identify the cause of chest pain and guide management.
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This document discusses wound classification and management. It defines acute and chronic wounds and describes simple, complex, and problem wounds. For problem wounds, it identifies key causative factors like infection, ischemia, and age. It recommends thorough debridement and discusses various adjunct treatments like negative pressure wound therapy, hyperbaric oxygen therapy, and different types of dressings. It provides guidance on managing specific wound types like pressure sores, diabetic wounds, and venous stasis ulcers.
Programme national de lutte contre les infections respiratoires aigues
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Outcomes of primary unilateral cheiloplastyin same-day surgical settings
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Similar to Chest Pain
Chest pain ,chest pain 2014,
This document discusses the evaluation and diagnosis of chest pain. It notes that while chest pain can be caused by many life-threatening and non-life-threatening conditions, it is important for patients to seek medical evaluation due to the difficulty in distinguishing between causes without testing. A medical history and physical exam are important for evaluating potential causes, which can include conditions affecting the heart, lungs, chest wall, esophagus and abdomen. Based on the history and exam, targeted testing like EKGs, blood tests, imaging and other diagnostics may be used to determine the underlying cause.
Chest pain- not everything is MI
a short ppt for Casualty group discussion- not all patients presenting with Chest pain are affceted with Cardiac ailments.
prepared and presented in 2008
presentation on Health Talk CHEST PAIN.pptx
Chest pain can have many causes, both cardiac and non-cardiac. Cardiac causes include heart attacks, angina, and other heart conditions. Non-cardiac causes include respiratory illnesses, gastrointestinal issues like acid reflux, and musculoskeletal problems. It is important to seek immediate medical help for chest pain that lasts more than a few minutes or feels severe, as it may be a sign of a serious heart condition. Lifestyle changes like a healthy diet, exercise, and avoiding tobacco can help prevent some causes of chest pain.
CVS ppt
This document discusses the causes, symptoms, diagnosis, and treatment of angina. Angina is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen. It is usually a symptom of coronary artery disease. The document describes the different types of angina and how doctors diagnose angina through tests like EKGs, stress tests, blood tests, and angiography. Treatment involves lifestyle changes, medications, procedures, and cardiac rehabilitation to reduce pain, prevent heart attacks, and treat the underlying heart condition.
chestpain-150320061131-conversion-gate01 (1).pdf
Chest pain can be cardiac or non-cardiac in origin. Cardiac causes include angina, myocardial infarction, and pericarditis while non-cardiac causes include pulmonary embolism, pneumonia, gallbladder disease, and musculoskeletal disorders. Characteristics of ischemic cardiac chest pain include central location, radiation to the jaw/arm, tight or squeezing quality, and precipitation by exertion. Differential diagnosis of chest pain involves evaluating for life-threatening causes, chronic serious conditions, treatable acute conditions, and other chronic treatable conditions. Distinguishing ischemic cardiac chest pain from non-cardiac pain relies on characteristics such as location, quality, precipitating/relieving factors, and associated symptoms.
Chest Discomforts.pptx
Chest pain can be cardiac or non-cardiac in origin. Cardiac causes include myocardial ischemia, angina, and acute coronary syndromes which present with characteristic dull, squeezing pain in the center of the chest that may radiate to the arms and is exacerbated by exertion. Non-cardiac causes include pulmonary embolism, pneumonia, gallbladder disease and musculoskeletal disorders which typically cause localized, sharp pains. A thorough history and physical exam is needed to differentiate cardiac from non-cardiac chest pain and determine appropriate treatment or need for further testing.
Chest pain
This document provides guidance on evaluating and diagnosing the cause of chest pain. It notes that the majority of chest pain is non-cardiac in origin but can be disabling. A thorough history, physical exam, ECG and imaging can identify most causes, including life-threatening ones like myocardial infarction that require immediate treatment. The description of chest pain symptoms and related factors can provide clues to potential etiologies such as cardiac, pulmonary, gastrointestinal or musculoskeletal origin.
Chest pain :-INTRDUCTION,CAUSES,TREATMENT
Any discomfort or pain in the chest region is referred to as chest pain. It might travel to other parts of your upper body, such as your neck, jaw, or down your arms. Pain in the chest may be subtle or acute. You can have achiness or tightness. Or your chest could feel as though something is pressing down on it.
Cardiovascular Emergencies
Cardiovascular disease is the leading cause of death in the United States, responsible for over 1 million deaths in 2004. Sudden cardiac death accounts for over 40% of cardiovascular deaths. The patient is a 67-year-old male experiencing crushing chest pressure radiating to his jaw, accompanied by shortness of breath and nausea, with no previous cardiac history. Based on the patient's symptoms and risk factors, the emergency responder suspects the patient may be experiencing an acute myocardial infarction.
Chest pain 2009 ppt
This document discusses differentiating between cardiac and non-cardiac causes of chest pain. Cardiac causes include ischemic issues like myocardial infarction and non-ischemic problems like pericarditis. Non-cardiac causes range from gastrointestinal issues, pulmonary problems, musculoskeletal pain and even shingles. It is important to thoroughly assess patients experiencing chest pain to determine location, quality and accompanying symptoms to correctly identify potential life-threatening issues and provide appropriate intervention.
Approach to a patient with chest pain
This document discusses the evaluation and diagnosis of chest pain. It notes that chest pain is a common reason for medical attention and may be caused by cardiovascular, pulmonary, gastrointestinal, chest wall or psychological conditions. The history, physical exam, electrocardiogram and cardiac biomarkers can help diagnose causes like acute coronary syndrome, pericarditis, pulmonary embolism and pneumonia. Serial cardiac troponin testing can distinguish between unstable angina and non-ST-segment elevation myocardial infarction. The document provides details on symptoms and exam findings for various conditions that can cause chest pain.
Approach to the patient with chest pain
This document provides guidance on evaluating and diagnosing the causes of acute chest pain. It discusses:
- Myocardial ischemia/infarction and coronary artery disease are the most common serious causes of chest pain, but other cardiac, pulmonary, gastrointestinal, musculoskeletal, and psychiatric conditions can also cause chest pain.
- The clinical history and physical exam are important for determining if the chest pain is characteristic of cardiac ischemia or other potential life-threatening conditions like pulmonary embolism or aortic dissection. Atypical features make cardiac ischemia less likely.
- The initial evaluation of a patient with chest pain should assess clinical stability, immediate prognosis, and whether outpatient management or further testing is warranted based on cardiac
Chest disease treatment in jaipur
Chest pain comes in numerous assortments or varieties, going from a sharp wound to a dull hurt. Some chest pain is depicted as smashing or burning.
Heart Disease
Usually heart failure is confused with heart attack, but they are quite different. Heart disease is not a disease by itself but a consequence of various signs and symptoms caused by a wide variety of disorders
Symptoms:
-Breathlessness
-Tightness in chest
-Choking
-Coughing or sweating with breathlessness, which usually starts 2-4 hrs after onset of sleep
-Fatigue
-Abdominal fullness, swelling of legs, nausea and loss of appetite.
The presentation of heart failure may be sudden (acute) or over a period of time (chronic). Heart failure can occur with normal pumping capacity of heart when there is a failure to relax normally (diastolic heart failure where ejection fraction or pumping capacity is near normal). It can also occur due to poor pumping capacity of the heart (systolic heart failure).
It becomes an emergency when the patient presents with acute heart failure and when it occurs in the background (family history) of angina or heart attacks, or with severe high blood pressure.
A lot of times, the situation become worse due to ignorance against one’s health and long occurring symptoms. Taking measures at an early stage is always much easier and affordable than pushing the circumstances to the extreme. The Heart2Heart programme by Apollo Clinic’s Let’s Talk Health offers a five minute assessment which will help forecast your heart health for next 10 years. We intend to bring this initiative to your homes, your neighbourhood, your workplace, schools, and recreational centres to organize various interactive forums in which our doctors will talk about wellness practices, teach you about dealing with emergencies, guide you to manage diseases and lot more…
Chest pain
Angina is chest pain caused by reduced blood flow to the heart muscle, usually due to plaque buildup in the arteries. A heart attack occurs when an area of the heart muscle dies from complete blockage of blood supply. Angina is typically relieved by rest, while heart attack symptoms may be more severe and not relieved by rest. Both can cause chest pain along with other signs like shortness of breath and sweating. Treatment for angina focuses on resting and using medication, while a heart attack requires immediate emergency medical care. Lifestyle changes like a healthy diet, exercise, smoking cessation, and stress reduction can help prevent further episodes.
Angina pectoris
Courtesy to Kristiana Gomez et. al :P
Constructive criticisms and reactions are welcomed. so I would like to thank you guys in advance for helping us to learn more.
Kin 191 B – Abdomen And Thorax Injuries
This document summarizes various injuries and conditions related to the upper extremities, thorax, abdomen, and reproductive systems. It describes injuries such as pneumothorax, hemothorax, liver and splenic injuries, as well as conditions like kidney stones, appendicitis, pelvic inflammatory disease, and testicular torsion. Signs, symptoms, risk factors, and treatments are outlined for each pathology.
Abdominal Exam.ppt
The document provides information on performing an abdominal exam, including objectives, techniques, findings, and differential diagnoses. It discusses examining the abdominal wall, vital signs, inspection, auscultation, percussion, and palpation. Specific findings that suggest conditions like appendicitis, peritonitis, or hemorrhage are outlined. Groupings of symptoms are presented with possible differential diagnoses.
Chest pain under evaluation
1) The document provides guidance for evaluating a patient presenting with chest pain, including conducting a primary survey, focused history, physical exam, and selecting initial diagnostic tests and investigations based on clinical suspicion.
2) Key considerations in differentiating potential deadly causes of chest pain like acute coronary syndrome, pulmonary embolism, aortic dissection, and pneumothorax include analyzing the description of pain, patient history, exam findings, and basic tests like ECG and CXR.
3) While chest pain descriptions and presentations can overlap between conditions, distinguishing features like radiation patterns, exacerbating/relieving factors, exam findings help prioritize the most concerning diagnoses for urgent treatment or further testing. Scoring systems and
Cardiac assessment
This document provides information on various types of chest pain and their characteristics. It discusses:
- The location, duration, precipitating/relieving factors, and associated symptoms of angina, myocardial infarction, pericarditis, pulmonary embolism, gastrointestinal issues like peptic ulcer disease, and other potential causes.
- Descriptions of arrhythmias like premature ventricular contractions and their symptoms. Causes and presentations of cardiac arrest are also outlined.
- Details on performing a physical exam for signs of heart failure like edema, jugular vein distension, and orthopnea. Assessment of vital signs including orthostatic blood pressure changes is described.
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90 10 Principle
The document discusses the 90/10 principle, which states that 10% of life is made up of external events outside our control, while 90% is determined by our reactions to those events. It provides an example of how reacting negatively to a spilled cup of coffee can ruin the whole day, while responding positively avoids stress and conflict. The key message is that while we cannot control what happens, we can control how we respond, which significantly impacts our experiences. Applying the 90/10 principle by not letting negative external events affect us can result in a more positive and stress-free life.
Indias Future Gurcharan Das
The document summarizes India's economic growth and future prospects over the past few decades. It notes that India has experienced high GDP growth averaging around 6-8% annually since the 1980s. While prosperity has increased, governance issues still need to be addressed for happiness to spread equally. The future outlook remains positive, with India's economy projected to become the world's 3rd largest, and per capita incomes continuing to converge with developed nations in the coming decades. However, challenges around infrastructure, fiscal deficits, and education quality must still be overcome.
Quit Smoking
The document discusses the health risks of smoking and the health benefits of quitting smoking. It states that principal diseases caused by smoking are cancer, COPD and CVD, and risks increase based on duration and amount smoked. On average, smokers lose 7.5 years of life. Quitting smoking leads to increased longevity and reduced risks of various diseases, with heart disease risk decreasing to non-smoker levels within 10 years. Within 72 hours of quitting, blood pressure and carbon monoxide levels return to normal. Long term benefits include halved lung cancer risk after 10 years and equal heart attack risk as non-smokers.
Caltex Rbi
1) This case study describes using risk-based inspection (RBI) to determine the inspection regime for two flare knockout drums (45C-612 and 45C-612A) operating in a sour gas environment.
2) RBI analysis determined cracking was a higher risk than corrosion for both vessels. It calculated medium-high risk for 45C-612 which had never been inspected for cracking, and medium risk for 45C-612A which had previous MPI testing.
3) The 2003 inspection regime focused on effectively detecting cracking non-destructively, extending the inspection period for both vessels to 2011 with no significant risk increase. This provided operational and cost savings over the statutory inspection period.
Eye Protection
According to the Bureau of Labor Statistics, nearly three out of five workers are injured while failing to wear proper eye and face protection. OSHA has established standards for eye and face protection to help protect workers from hazards like impact, heat, chemicals, dust, and optical radiation. Employers must assess workplace hazards and provide appropriate protective equipment, such as safety glasses, goggles, or face shields, and train employees on proper use and care of PPE.
Corrosion Circuits
A corrosion circuit is a section of a plant that has similar environmental conditions, material construction, and degradation mechanisms. Understanding corrosion circuits allows inspection engineers to develop a more proactive and risk-based integrity program. By studying the corrosion mechanisms and their probability within each corrosion circuit, engineers can identify potential risk areas throughout the plant and ensure process operability, maintenance needs, and reliability.
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Chest Pain
- 1. Welcome
- 2. Chest Pain By Iman Noufal Amb.Nsg. /UCU
- 56. Chest Pain Any organ or tissue in the chest can be the source of pain, including the Heart, Lungs, Oesophagus, Muscles, Ribs, Tendons, or Nerves. Summary
- 57. Chest Pain The Physical Examination Summary The physical examination will focus on the chest wall, lungs and heart. The doctor or nurse may ask questions like the following:
- 61. Summary More complex tests may be required depending on the difficulty of diagnosis or the suspected cause of the chest pain Diagnostic Tests
- 63. Chest Pain References www.webmed.com www.heartdisease.about.com www.health.discovery.com www.health.yahoo.com www.heartcenteronline.com www.e_manual.aramco.com.sa www.mayo clinic.com