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Is the chest pain acute or chronic? If it is acute, one must consider acute myocardial infarction, pulmonary embolism, pneumothorax, pericarditis, and fractures. If the chest pain is chronic, one must consider chronic ... DIAGNOSTIC WORKUP
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Although most cases of chest pain are due to benign etiologies, such as gastroesophageal reflux or a muscle strain, life-threatening etiologies must be assessed and treated immediately if present. There are five primary etiologies of acute, life threatening chest pain: Aortic... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Chest pain is a frequent complaint in pediatrics, especially in the adolescent age group. Although rarely cardiac in etiology, this often represents the patient's/family's greatest fear. A careful history and physical exam, with attention to the needs of the patient... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... An anatomic breakdown of the arm into its components is the key to a sound differential diagnosis in arm pain. Pain may be referred from more proximal portions of the extremity such as the shoulder (e.g., bursitis) or brachial plexus (e.g.,
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... Hardly a day goes by in a busy practitioner’s office that he or she is not confronted with a patient complaining of chest pain. The main concern, of course, is to exclude an acute myocardial infarction, which is not an easy task in many cases. The practitioner frequently admits
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. (See Causes of local pain.) In some cases, it may be referred pain from another area, such as the chest, neck, or abdomen. Its location, onset, and... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Chest pain usually results from disorders that affect thoracic or abdominal organs — the heart, pleurae, lungs, esophagus, rib cage, gallbladder, pancreas, or stomach. An important indicator of several acute and life-threatening cardiopulmonary and GI disorders, chest pain can... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Skin and subcutaneous lesions [including adiposis dolorosa, thrombophlebitis of thoracoepigastric vein (Mondor's disease)]
Breast lesions
Fibroadenosis
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... Signs and Symptoms Crushing substernal pain radiating to left arm, shoulder blades, and neck; feeling of impending doom; nausea; shortness of breath; sweating; ST-segment changes on electrocardiogram; elevated serum CK-MB and troponin-I levels
... Pictures
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. (See Causes of localized arm pain, page 74.) In some cases, arm pain may be referred from another area, such as... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Chest pain usually results from disorders that affect thoracic or abdominal organs—the heart, pleurae, lungs, esophagus, rib cage, gallbladder, pancreas, or stomach. An important indicator of several acute and life-threatening... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Jim Nuovo
Atypical chest pain is defined as pain that does not have a characteristic anginal quality (heaviness or squeezing sensation), precipitating factors (e.g., exertion), or location (substernal and radiating). ... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Marie K. Yamamotoya
Substernal chest pain requires a rapid and accurate assessment to identify potentially life-threatening events. Substernal chest pain of cardiac origin encompasses the entire clinical spectrum from... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Chest wall pain
❑ Angina
❑ Unstable angina
❑ Myocardial infarction
&... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Costochondritis
❑ Pneumonia
❑ Rib fracture
❑ Pulmonary embolism
❑ Pleurisy ... Diagnostic Approach ... Clinical Findings ... Pictures
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... With myocardial infarction (MI), also known as heart attack, reduced blood flow through one of the coronary arteries results in myocardial ischemia and necrosis. With cardiovascular disease, the leading cause of death in the United States and western Europe,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Disorders that affect thoracic or abdominal organs — the heart, pleurae, lungs, esophagus, rib cage, gallbladder, pancreas, or stomach — are typical causes of chest pain. It can also result from a musculoskeletal or hematologic disorder,... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. In some cases, it may be referred pain from another area, such as the chest, neck, or abdomen. Its location, onset, and character provide clues to its cause. The pain... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Chest pain usually results from disorders that affect thoracic or abdominal organs — the heart, pleurae, lungs, esophagus, rib cage, gallbladder, pancreas, or stomach. An important indicator of several acute and life-threatening... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Although chest pain is common complaint inchildren and adolescents, serious underlying disease presentingas chest pain is uncommon in this population. Principal Causes of Chest Pain Musculoskeletaldisorders Muscle Trauma(strain, ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. (See Causes of local pain, page 52.)
In some cases, it may be referred pain from another area, such as the chest, neck, or abdomen. Its location, onset, and... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Chest pain usually results from disorders that affect thoracic or abdominal organs—the heart, pleurae, lungs, esophagus, rib cage, gallbladder, pancreas, or stomach. An important indicator of several acute and life-threatening cardiopulmonary and GI disorders,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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An anatomic breakdown of the arm into its components is the key
to a sound differential diagnosis in arm pain. Pain may be referred from
more proximal portions of the extremity such as the shoulder (e.g.,
bursitis) or brachial plexus (e... Pictures
... READ EXCERPTS »
...
Hardly a day goes by in a busy practitioner’s office that he or she is
not confronted with a patient complaining of chest pain. The main concern,
of course, is to exclude an acute myocardial infarction, which is not an
easy task in many... Pictures
... READ EXCERPTS »
Angina pectoris is the name for a chest pain or discomfort caused by a lack of blood supply to the heart muscle. Learn more about the signs and...
If you've been diagnosed with angina, how often you need to be monitored will depend on the severity of the angina. Tune in to learn more about...
Do you suffer from chest pain while exercising? If so, you may want to see a doctor. Join experts as they talk about the various methods used to...
The statistics for heart disease in women are staggering. Yet many don't know they are at risk, nor do they know the signs and symptoms of...