PPT-My patient has normal coronaries and still has chest pain: What do I do?

Dr Mrinal Saha Consultant Cardiologist MBBS MA Cantab FRCP PhD wwwdrmrinalsahacom Consultant Cardiologist since 2010 at GHNHSFT Coronary intervention 16 PPCI rota 1994 Trinity College Cambridge. . 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. 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. Cardiovascular Emergencies. Many different presentations!. 45-year-old male with crushing . substernal. chest pain. 50-year-old female with a sudden onset of sharp chest pain and shortness of breath. 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 . Nurse. Acute Chest Syndrome . Case Study. David M. Cline, MD. Wake Forest School of Medicine. Objectives. At the conclusion of the case study discussion, the learner will be able to identify:. The recommended antibiotics for SCD patients diagnosed with acute chest syndrome. Chest Pain . presenting in primary care setting. . Saqer. . Abbadi. BAU. . -. Chest pain one of the most common causes of ER visits in Jordan(Ranging from trivial causes to a life-. threatning. A 55 year old male with a PMHx of Hyperlipidemia presented to the Emergency Department with a CC of Chest Pain. The patient described the onset of his Chest Pain beginning 8 hours prior while he was sitting in his car. He described the pain as a deep burning over the middle of his chest with radiation down his left arm. He endorsed that the pain was an 8/10 in severity, and he has experienced diaphoresis with associated SOB since its onset. He recalled experiencing a similar event 4 days prior when exerting himself at work. The pain had not relieved with rest and he could not recollect if anything specifically made the pain better or worse. . Outpatient or Inpatient. SCENS. Learning Objectives. Perform a focused assessment for the patient experiencing acute chest pain. Implement facility specific chest pain protocol. Demonstrate the appropriate responses to the “first 5 minutes” of cardiac arrest. EMS Chief Manager. Perspective&Epidemiolgy. .More than . 5 . milion. . patient to the ED each year with complaints of chest . pain;this. represents nearly . 5% . of all patients seen in the ED in the . By Matthew . Blendell. PA-C . mattblendell@gmail.com. . Satjit Bhusri, MD. Cardiologist. Lenox Hill Hospital. A 55 year old male w/ . hx. of HTN and 20 . ppy. smoking history presents with continuous, crushing chest pain. HYPERLIPIDEMIA WITH HYPERTENSION. Scenario:. . Here is a 5o years old female patient hospitalized for four days.. Chief complaints:. c/o chest pain since 2 hours.. History of present illness:. T. he process of . collecting. clinical information about the patient’s health status, . the . evaluation. of the data and identification of the specific problems, concerns, and needs of the patient, and . 6. th. February 2020. Thank you to Dr E . Holbeach. for providing the slides. Learning objectives. How to manage common cover shift requests. Strategies to be kind to yourself and others. Key times to escalate for senior help. Dr Carol Chong. Supervisor of Intern Training. June 2018. Your are on cover shift – A nurse calls about a patient with reduced conscious state. How will you manage this problem?. Decreased Conscious State.