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. 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):. Chapter 27. Organs of the Chest. Structures of the Chest. Mechanics of Ventilation. Inspiration. Intercostal. muscles contract and diaphragm flattens.. Expiration. Intercostal. muscles and diaphragm relax; tissues move back to normal position.. Dr Ivan . B. enett. 3/22/2011. 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.. ≈. 1.5% of the general population consult a primary. Justin Berkowitz. DO, MS. , Guy . Carmelli. MD. Raymond Beyda MD, Michael Griesinger MD. Objectives. Emergency Department management of Chest Pain and Shortness of Breath. Differential Diagnoses. History and Physical. 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 . 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. Causative organism: . Mycobacterium tuberculosis. Route of spreading: . Droplet infection. Predisposing factors. Poor hygiene. Overcrowding. Low socioeconomic strata. Malnutrition. Immunocompromised. 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. Disruption of the normal cardiac muscle cell integrity resulting in the loss into the blood of intracellular constituents including detectable levels of proteins such as:. Troponin. Creatine. kinase. 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 . Rossi B, Epelboin L, Jauréguiberry S, Lecso M, Roos-Weil D, Gabarre J, et al. Melioidosis and Hairy Cell Leukemia in 2 Travelers Returning from Thailand. Emerg Infect Dis. 2013;19(3):503-505. https://doi.org/10.3201/eid1903.121329. . 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 .