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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... 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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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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.
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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... 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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... Idiopathic†
Infection
Viral [e.g., acquired immunodeficiency syndrome (AIDS)]†
Bacterial†
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... Signs and Symptoms Malaise, weakness, fatigue, weight loss, anorexia, arthralgia, night sweats, chills, valvular insufficiency, intermittent fever, loud murmur
Treatment (Tx) Antimicrobials, supportive... Pictures
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... The environment contains thousands of pathogenic microorganisms — viruses, bacteria, fungi, and parasites. Ordinarily, we protect ourselves from infectious organisms and other harmful invaders through an elaborate network of safeguards — the host... Host defense system ... Antigens ... B lymphocytes ... T lymphocytes ... Macrophages ... Cytokines ... Complement system ... Polymorphonuclear leukocytes ... Immune disorders ... Hypersensitivity disorders ... Type I hypersensitivity (allergic disorders)
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... Myocarditis is focal or diffuse inflammation of the cardiac muscle (myocardium). It may be acute or chronic and can occur at any age. In many cases, myocarditis fails to produce specific cardiovascular symptoms or electrocardiogram (ECG) abnormalities, and recovery is usually spontaneous,... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Pericarditis is an inflammation of the pericardium, the fibroserous sac that envelops, supports, and protects the heart. It occurs in both acute and chronic forms. Acute pericarditis can be fibrinous or effusive, with purulent serous or hemorrhagic exudate; chronic constrictive... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... 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,... 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).
... 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 typical angina to unstable angina and... 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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... Also called infective endocarditis and bacterial endocarditis, endocarditis is an infection of the endocardium, heart valves, or a cardiac prosthesis, resulting from bacterial or fungal invasion. This invasion produces vegetative growths on... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Myocarditis is focal or diffuse inflammation of the cardiac muscle (myocardium). It may be acute or chronic and can occur at any age. Frequently, myocarditis fails to produce specific cardiovascular symptoms or electrocardiogram (ECG) abnormalities, and recovery is usually spontaneous,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Pericarditis is an inflammation of the pericardium, the fibroserous sac that envelops, supports, and protects the heart. It occurs in both acute and chronic forms. Acute pericarditis can be fibrinous or effusive, with purulent, serous, or hemorrhagic exudate; chronic... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Chronic fatigue and immune dysfunction syndrome (CFIDS) — also known as chronic fatigue syndrome, chronic Epstein-Barr virus [EBV], benign myalgic encephalomyelitis, and “Yuppie flu” — is typically marked by debilitating fatigue,... 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, anxiety, and drug therapy. Chest pain is... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... 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... 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 ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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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 ... Pictures
... READ EXCERPTS »
... Bradley S. Marino, MD Myocarditis - BASICS Myocarditis - description Myocardial cell injury with degeneration or necrosis with inflammatory infiltrate not caused by ischemia Myocarditis - epidemiology Cardiovascular... Myocarditis - DIAGNOSIS ... Myocarditis - TREATMENT ... Myocarditis - FOLLOW UP ... Myocarditis - bibliography ... Myocarditis - CODES
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Heart trouble may sound like a click away if you have mitral valve prolapse (MVP). But this common misfiring in the heart is seldom serious. Learn...
Heart failure affects approximately 5 million people in the United States. It can be caused by a number of conditions and treatment options may vary...
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...
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...