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Is there associated fever? The presence of fever along with chest pain should make one think of a perinephric abscess or pyelonephritis. Occasionally, however, hypernephroma can cause fever and flank pain, as can ... DIAGNOSTIC WORKUP
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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 ... 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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Pain and/or tenderness on the side of the trunk from the ribs to the ileum is often associated with renal disease; however, nonrenal etiologies are very common. Of course, renal disease should be strongly suspected in the case of costovertebral angle... 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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... Most cases of flank pain are associated with inflammation of the kidney. As is shown in Table 29 , however, jumping to that conclusion in any given case may be hazardous.
FLANK PAIN
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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 the
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... Asymmetrical chest expansion is the uneven extension of portions of the chest wall during inspiration. During normal respiration, the thorax uniformly expands upward and outward, and then contracts downward and inward. When this process is... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe stabbing or throbbing pain, and may be unilateral or bilateral... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... 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 ... 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... Treatment (Tx) ... Pictures
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... Asymmetrical chest expansion is the uneven extension of portions of the chest wall during inspiration. During normal respiration, the thorax uniformly expands upward and outward, then contracts downward and inward. When this process is disrupted,... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe stabbing or throbbing pain, and may be... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... 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... 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 The highest... 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... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Ureteral calculus
❑ Acute pyelonephritis
❑ Latissimus strain
❑ Perinephric abscess
&... Diagnostic Approach ... Clinical Findings
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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, death... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Asymmetrical chest expansion is the uneven extension of portions of the chest wall during inspiration. During normal respiration, the thorax uniformly expands upward and outward, and then contracts downward and inward. When this process is disrupted, breathing becomes uncoordinated,... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe stabbing or throbbing pain,... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... 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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Asymmetrical chest expansion is the uneven extension of portions of the chest wall during inspiration. During normal respiration, the thorax uniformly expands upward and outward, then contracts downward and inward. When this process is disrupted, breathing becomes... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe stabbing or throbbing pain, and may be unilateral or bilateral... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... 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... 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, contusion, laceration) ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Asymmetrical chest expansion is the uneven extension of portions of the chest wall during inspiration. During normal respiration, the thorax uniformly expands upward and outward, and then contracts downward and inward. When this process is disrupted, breathing becomes... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe stabbing or throbbing pain, and... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
Most cases of flank pain are associated with inflammation of the
kidney. As is shown in Table 29, however, jumping to that
conclusion in any given case may be hazardous.
FLANK
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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
easy task in... Pictures
... READ EXCERPTS »
... Debra Boyer
Approach to the Patient with Chest Pain
I. Definition of the Complaint
Chest pain is a relatively common complaint in children, with a frequency of 6
per ... Pictures
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... I. History of Present Illness
A 17-year-old boy was in good health until 3 days before his admission. At that
time, he fell playing basketball and noted some pain in his right thigh. He
also began ... Pictures
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... I. History of Present Illness
A 15-year-old boy was well until 1 week before presentation. At that time, he
developed the acute onset of chest pain accompanied by fever and chills. He
described the ... Pictures
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... I. History of Present Illness
A 20-year-old young man with a history of spina bifida presented to the
emergency department. Six days earlier, he had reported fatigue and was unable
to leave his house. Over the next few days, ... Pictures
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... I. History of Present Illness
A 17-year old boy presented with left-sided chest pain. He was well until 8 days
before presentation, when he developed left axillary and shoulder pain. The
pain was worse with ... Pictures
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... I. History of Present Illness
A 3-year old girl was brought to the emergency department crying and clutching
her chest. She was extremely difficult to console. She had had poor oral intake
over the ... Pictures
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... I. History of Present Illness
A 15-year old boy with a history of asthma and chronic sinusitis presented with
a 2-day history of shortness of breath and chest pain. He described the pain as
an ache with an occasional squeezing ... Pictures
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... Author:
Sarika Joshi, MD
What to Do - Gather Appropriate Data
There is a need to treat the multiple causes of ACS.
ACS is a common complication and reason for hospital admission in
children with sickle cell disease (SCD). It... Suggested Readings
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... Author:
Sonya Burroughs, MD
What to Do - Gather Appropriate Data
Preparticipation sports screening is an essential yet difficult tool used for
athletic clearance. This purpose of the screening is to identify those at risk
for... Suggested Readings ... Pictures
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... Author:
Madan Dharmar, MD
What to Do - Make a Decision
CPT in pediatric respiratory diseases has been used to assist in the clearance of tracheobronchial secretions. The main goal is to clear the airway
obstruction, open... Suggested Readings
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... Steven M. Selbst, MD Chest Pain - BASICS Chest Pain - description Chest pain is a common pain syndrome in childhood (see table in “Etiology” : Most Common Causes of Pediatric Chest Pain).... Chest Pain - DIAGNOSIS ... Chest Pain - TREATMENT ... Chest Pain - FOLLOW UP ... Chest Pain - bibliography ... Chest Pain - CODES ... Chest Pain - FAQ
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