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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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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... 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. The practitioner frequently admits the
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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... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... An absent or a weak pulse may be generalized or affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock and arrhythmia. Localized loss or weakness of a pulse that’s normally present and strong... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Arrhythmia (with or without digitalis intoxication)
Tachyarrhythmia
Ventricular fibrillation (e.g., prolonged QT syndromes)
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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... Treatment (Tx) ... Pictures
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... Coronary artery disease (CAD) occurs when the arteries that supply blood to the heart muscle harden and narrow. The result is the loss of oxygen and nutrients to myocardial tissue because of diminished coronary blood flow. This reduction in blood flow can also lead to... 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... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... An absent or weak pulse may be generalized or affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock and arrhythmia. Localized loss or weakness of a pulse that’s normally present and strong... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... 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 typical angina to... 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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... The dominant effect of coronary artery disease (CAD) is the loss of oxygen and nutrients to myocardial tissue because of diminished coronary blood flow. This disease is near epidemic in the Western world.
CAD occurs more commonly in men than in women, in... 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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... 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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... An absent or weak pulse may be generalized or may affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock and arrhythmia. Localized loss or weakness of a pulse that’s normally present... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric 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 ... 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 GI... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... An absent or a weak pulse may be generalized or affect only one extremity. When generalized, this sign is an important indicator of such life-threatening conditions as shock and arrhythmia. Localized loss or weakness of a pulse that's normally present and strong may... 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
easy task in many cases. The practitioner... Pictures
... READ EXCERPTS »
... Geoffrey L. Bird, MD Anomalous Coronary Artery - BASICS Anomalous Coronary Artery - description In this disorder, most commonly the left (rarely the right) coronary artery arises from the pulmonary artery rather than the aorta. Anomalous ... Anomalous Coronary Artery - DIAGNOSIS ... Anomalous Coronary Artery - TREATMENT ... Anomalous Coronary Artery - FOLLOW UP ... Anomalous Coronary Artery - bibliography ... Anomalous Coronary Artery - CODES ... Anomalous Coronary Artery - FAQ
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... Char Witmer, MDLeslie Raffini (4th Edition) Thrombosis - BASICS Thrombosis - description Pathologic arterial or venous intravascular occlusion by thrombus, which interferes with normal blood flow. The following are... Thrombosis - DIAGNOSIS ... Thrombosis - TREATMENT ... Thrombosis - FOLLOW UP ... Thrombosis - bibliography ... Thrombosis - CODES ... Thrombosis - FAQ
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A heart attack is caused when a blockage forms in the heart's blood vessels. Knowing what causes a heart attack and how to prevent it could save...
After you've already suffered from a heart attack, you are at high risk for a second. Tune in to learn how to help prevent a second heart attack.
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...
Nearly 60 million Americans are diagnosed with heart disease every year and it's the leading cause of death in both men and women. But...