This document discusses the approach, differential diagnosis, initial tests, diagnostic tests, temporary treatment, and definitive management for three cases of chest pain. Case 1 involves a 48-year-old male with sudden severe chest pain. Case 2 is a 72-year-old female with chest discomfort and breathlessness. Case 3 is a 37-year-old female with central chest pain and history of breast cancer. Common differential diagnoses for chest pain include acute myocardial infarction, aortic dissection, pulmonary embolism, pneumonia, and perforated viscus. The document outlines the clinical clues, initial tests like ECG and CXR, additional diagnostic tests, and treatment strategies for each case and potential diagnosis.
Evaluation of the adult chest pain in emergency departmentfereshteh setva
Evaluation of the adult with chest pain in the emergency department is a big challenge and this presentation is very useful to know the major cause of chest pain and approach them
Evaluation of the adult chest pain in emergency departmentfereshteh setva
Evaluation of the adult with chest pain in the emergency department is a big challenge and this presentation is very useful to know the major cause of chest pain and approach them
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Chest pain and implications for EMS. Review the history, physical and treatment of chest pain. Learn the most important causes of chest pain in the EMS setting and see great EKG examples of MI and the EKG mimics of cardiac ischemia.
Non Cardiac Chest Pain is a common problem in both primary care and hospital settings. This presentation provides a simplified approach to non cardiac chest pain. It uses a case study to cover the evaluation, differential diagnosis, investigations and management for this common medical problem.
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The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
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He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
2. Approach
Red flags
Differential diagnosis
Clinical clues to diagnosis
Best initial tests to clarify diagnosis
Diagnostic tests
Temporising treatment
Definitive management
3. Case 1
48 male
Fit and well
Sudden onset of severe lower chest pain radiating through to his
back with dizziness and clamminess
Looks unwell, 37.2C, BP 115/72, HR 88, RR 22, SaO2 97%
4. Red flags
Usually well male coming to an ED
Severity of pain
Through to back
Dizziness/clamminess
16. Temporising Treatment
Resuscitation appropriate to differential diagnosis
AMI – analgesia, GTN
Dissection – analgesia, BP management
Perforated viscus – analgesia, fluid resus, IV ABs
Pancreatitis – analgesia, fluid resus
17. Definitive Management
AMI – reperfusion
Dissection – BP control +/- surgery
Perforated viscus – IV ABs, theatre
Pancreatitis – fix cause, NGT, fluid management, glucose control,
enteral feeding
18. Case 2
72 female
Type II diabetes, rheumatoid arthritis
Chest discomfort radiating towards right shoulder with nausea and
breathlessness at rest
Speaking in short sentences, 37.4C, HR 110, BP 105/82, RR 24, SaO2
91%
