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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, ... 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 ... 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... 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... 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... 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.
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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
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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... 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... 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... 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... Treatment (Tx) ... Pictures
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... Pneumonia is an acute infection of the lung parenchyma that commonly impairs gas exchange. The prognosis is generally good for people who have normal lungs and adequate host defenses before the onset of... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Idiopathic bronchiolitis obliterans with organizing pneumonia (BOOP), also known as cryptogenic organizing pneumonia, is one of several types of bronchiolitis obliterans. Organizing pneumonia refers to unresolved... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Because of its association with human immunodeficiency virus (HIV) infection, Pneumocystis carinii pneumonia (PCP), an opportunistic infection, has increased in incidence since the 1980s. Before the... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Signs and Symptoms Coughing, sputum production, pleuritic chest pain, shaking, chills, fever, pleural effusion
Treatment (Tx) Antibiotics, oxygen,
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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... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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Flank pain
(Professional Guide to Signs & Symptoms (Fifth Edition))
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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... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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Chest pain
(Professional Guide to Signs & Symptoms (Fifth Edition))
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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... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Chest Pain, Atypical
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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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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Chest Pain, Substernal
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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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... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Ureteral calculus
❑ Acute pyelonephritis
❑ Latissimus strain
❑... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Chest wall pain
❑ Angina
❑ Unstable angina ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Costochondritis
❑ Pneumonia
❑ Rib fracture
❑ Pulmonary embolism ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Streptococcus pneumoniae
❑ Mycoplasma pneumoniae
❑ Haemophilus influenzae
... 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... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... An acute infection of the lung paren-chyma, pneumonia often impairs gas exchange. The prognosis is generally good for people with normal lungs and adequate host defenses before the... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Idiopathic bronchiolitis obliterans with organizing pneumonia (BOOP), also known as cryptogenic organizing pneumonia, is one of several types of bronchiolitis obliterans. Bronchiolitis obliterans is... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Because of its association with human immunodeficiency virus (HIV) infection, Pneumocystis carinii pneumonia (PCP), an opportunistic infection, has become more... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Flank pain
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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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... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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Chest pain
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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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... 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... 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... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric 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... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Chest Pain
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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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 ... 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... 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... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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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... 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.
... 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,... Pictures
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... Debra Boyer
Approach to the Patient with Chest Pain
I. Definition of the Complaint
... 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
... 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. ... 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 ... 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
... 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 ... 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 ... Pictures
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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 ... Chest Pain - DIAGNOSIS ... Chest Pain - TREATMENT ... Chest Pain - FOLLOW UP ... Chest Pain - bibliography ... Chest Pain - CODES ... Chest Pain - FAQ
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