CHEST PAIN - PowerPoint PPT Presentation

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CHEST PAIN

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CHEST PAIN Causes How to differentiate each pain (symptoms) ... cardiac enzymes resting ECG CXR stress ECG echocardiogram angiogram (catheterization) CT ... – PowerPoint PPT presentation

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Title: CHEST PAIN


1
CHEST PAIN
  • Causes
  • How to differentiate each pain (symptoms)
  • Risk factors (associated diseases)
  • Physical signs
  • Investigations
  • Complications and treatment (dont bother)

2
CHEST PAIN
  • Causes (differential diagnosis)
  • cardiac ischaemic (angina pectoris,
  • myocardial
    infarction)
  • pericarditis
  • dissecting aortic aneurysm
  • pulmonary embolism

3
CHEST PAIN
  • Causes (contd)
  • noncardiac pneumothorax
  • pleuritic
  • local (neuro,musculoskeleta
    l)
  • abdominalgall bladder
  • peptic
    ulcer

  • pancreatitis

4
CHEST PAIN
  • How to differentiate
  • character
  • site
  • radiation
  • duration
  • precipitating factors
  • relieving factors
  • associated symptoms

5
CHEST PAIN
  • Risk factors
  • hypertention
  • hyperlipidaemia
  • diabetes mellitus
  • smoking
  • family history
  • obesity

6
CHEST PAIN
  • Physical signs
  • hypertension / hypotension
  • weak / irregular pulses
  • atherosclerosis signs
  • added heart sounds
  • murmurs
  • pericardial rub
  • lung crepitations
  • local tenderness
  • abdominal tenderness

7
CHEST PAIN
  • Investigations
  • cardiac enzymes
  • resting ECG
  • CXR
  • stress ECG
  • echocardiogram
  • angiogram (catheterization)
  • CT
  • MRI

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