PPT-Referring in to the Chest pain pathway: The Primary Assessm

Dr Ivan B enett 3222011 Dr Ivan Benett GPwSI Cardiology Chest pain is a common presentation in primary care 20 40 of people present with chest pain during their lifetime 15 of the general population consult a primary. MASSAGE. FOR . BETTER. HEALTHE. Lung Meridian Disharmonies . Fever & chills w/chills predominating;. Body ache, stuffy nose w/clear runny mucus;. Sneezing, scratchy throat, lack of sweat. .. Lung Meridian Disharmonies . . ED Evaluation. Garik Misenar, MD, FACEP. Objectives. U. nderstand differential diagnosis of chest pain. L. earn key points in the evaluation of chest pain. Know the key findings associated with chest pain. Performance . Improvement. Leadership Development Program. Center for Health Care Quality. University of Missouri – Columbia. Team. Provider Champion/Coach/Facilitator. Kevin Dellsperger, MD. Kristin Hahn-Cover, MD. Junior Teaching. C. Brown August 2015. Objectives. Overview of the wide differential diagnosis of ‘chest pain’ which presents to the ED. Outline Aberdeen ED assessment and referral pathways for major ‘chest pain’ conditions (suspected or diagnosed):. INTRODUCTION . chest pain to the primary care physician represents an immediate challenge.. The correct diagnosis is most often derived from detailed history. (pain description; associated symptoms; and risk factors. 41 . year-old white female who presents for chest pain and SOB.. c/c: . “My side is killing me and I feel like I can’t . breathe.”. HPI: . Pt. . returned yesterday from a cross-country trip and she awoke to experience sudden onset chest pain and difficulty breathing. Pain . Patient nameCaregiver names12Home addressCity/State/ZipHome phone Work phoneCell Phone Todays dateReferring physicians nameUPIN/NPIReferring physician signatureReferring clinic name/locationReferring Introduction. Welcome to the basic training lesson on chest pain awareness. .. This . course covers the importance of chest pain centers, including facts about heart disease, the importance of recognizing the signs and symptoms of heart attacks, preventing heart attacks, and the advantage of early diagnosis and intervention. This course will help you better understand and have awareness of the signs and symptoms of heart attacks that you may encounter in the workplace or in your personal life and the immediate actions you should take. ‘Is that cardiac chest pain?’. Peter . Llewellin. . August 2011. Revised July 2016. Background. Chest pain common presentation (10% ED visits. ). ACS only small proportion of this (~10. %). STEMI normally obvious . Divorced Widowed Other Primary Care Doctor Health History Questionnaire All questions contained in the questionnaire are strictly confidential and will become part of your medical record. Present Prob Katherine . Rothwell. Case 1. 65 . yr. old female. PMHx. : Eczema, is a smoker 20/day. Comes to see you complaining of . central chest pain. Present past few months.. Comes on when gardening or when outside in the cold. Dr. Mrinal Saha. Consultant Cardiologist. MBBS MA(. Cantab. ) FRCP PhD. www.drmrinalsaha.com. Consultant Cardiologist since 2010 at GHNHSFT. Coronary intervention (1:6 PPCI rota). 1994- Trinity College Cambridge. . Critical & Emergency medicine. (1. st. lecture). . . Second year student . . Dr. Warda Ramadan. Lecturer of critical care and Emergency Nursing. Dr.Aryakrishna. A(JR1 MEDICINE). TDMC . ALAPPUZHA. The . most common reasons for which patients present . for . medical attention at ED or an OP clinic. The evaluation of . non traumatic . chest discomfort is inherently challenging owing to the broad variety of possible .