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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 ... DIAGNOSTIC WORKUP
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... Many deformities of the chest may be observed on inspection of the patient and provide a clue to lung or systemic disease. Scoliosis may be a clue to syringomyelia, old poliomyelitis, muscular dystrophy, and Friedreich's ataxia. The "rachitic... DIAGNOSTIC WORKUP
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Is there a history of trauma? Fractured or bruised ribs head the list of traumatic conditions that can cause chest tenderness. Intercostal myositis and ... 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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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... 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
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... The differential diagnosis of this symptom and sign is similar to that of chest pain: Anatomy is the key to both. After visualizing all the organs of the chest and cross-indexing
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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... Emergency interventions ... History and physical examination ... Medical causes ... Other 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... 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
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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... Treatment (Tx) ... Pictures
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... Chest injuries, including blunt chest injuries, consist of myocardial contusion as well as rib and sternal fractures that may be simple, multiple, displaced, or jagged. Such fractures may cause potentially fatal... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Signs and Symptoms Sucking sound as diaphragm contracts; severe pain or decreasing level of consciousness; tachycardia; weak, thready pulse
Treatment (Tx) Airway
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... Depending on their size, penetrating chest wounds may cause varying degrees of damage to bones, soft tissue, blood vessels, and nerves. Mortality and morbidity from such wounds... Causes and incidence ... Signs and symptoms
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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... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric 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 indicator of several acute and life... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... In barrel chest, the normal elliptical configuration of the chest is replaced by a rounded one in which the anteroposterior diameter enlarges to approximate the transverse diameter. The diaphragm is depressed and the sternum... History and physical examination ... Medical 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... 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 entire clinical spectrum... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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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
&... 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... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... One-fourth of all trauma deaths in the United States result from chest injuries. Many are blunt chest injuries, which include myocardial contusion and rib and sternal fractures; these may be... Causes ... Signs and symptoms ... Diagnosis ... Treatment
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... Depending on their size, penetrating chest wounds may cause varying degrees of damage to bones, soft tissue, blood vessels, and nerves. Mortality and morbidity from a chest wound depend on the size and severity of the... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other 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... 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... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other 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... 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 Musculoskeletaldisorders ... 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.... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... In barrel chest, the normal elliptical configuration of the chest is replaced by a rounded one in which the anteroposterior diameter enlarges to approximate the transverse diameter. The diaphragm is depressed and the sternum pushed... History and physical examination ... Medical 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... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The differential diagnosis of this symptom and sign is similar to that
of chest pain: Anatomy is the key to both. After visualizing all the
organs of the chest and cross... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
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