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Podcast: a history of chest pain

Today we are focussing on chest pain and listening to a patient describe their problems. Chest pain is is one of the most common reasons to be seen and assessed on an emergency department in the UK. Listen to the patient and try to diagnose – then see what our diagnosis is for the chest [...]  
Medical Educator
about 9 years ago
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27

Pediatric Cardiology - Chest pain in children Quiz

This Pediatric Cardiology Teaching,lecture conducted by Dr Nageswara Rao. The topic is - Chest pain in children.  
YouTube
over 5 years ago
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Pediatric Cardiology - Chest pain in children Quiz

This Pediatric Cardiology Teaching,lecture conducted by Dr Nageswara Rao. The topic is - Chest pain in children.  
YouTube
almost 5 years ago
Www.bmj
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A 72 old woman with a painful leg after a fall

A 72 year old woman presented to the emergency department after tripping over uneven carpet at home. She had pain in her right groin and was unable to weight bear but had no other injuries. The fall had been a true mechanical one, with no preceding dizziness, chest pain, or palpitations. Her medical history included hypertension, and she had undergone a left (contralateral) total hip replacement four years earlier. Her only regular drug was ramipril. She lived alone, was independent in activities of daily living, and could walk short distances in the community unsupported. She had no ophthalmological disease or other visual impairment.  
bmj.com
over 4 years ago
10
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Maximum duration for heart attack?

In my own experience of GPs and stories from others, the widest variation in practice I have seen is of one particular type of patient. Middle aged/elderly, maybe a few cardiac risk factors, often with a history of reflux disease - presenting to GP with mild/moderate cardiac-sounding chest pain of days duration, which they are not generally concerned about. +/- equivocal histories of SOB, nausea, or sweating if pressed. My question is - is it sensible to send these people in via 999 blue lights? How will it help them? They are often taking aspirin already, and presumably after days of ischaemia the myocardium is well and truly dead if it was MI and so they wouldn't be candidates for PCI or thrombolysis. It would seem to me that the cardiac problem to rule out in these patients is unstable angina, not MI. Is there anything to be done for this presentation cardiac-wise other than aspirin and referral to chest pain clinic, if not happy to send home with reassurance re: oesophageal spasm?  
Jamie McPherson
over 6 years ago
10
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27

Investigating hypertension

16 year old male, a secondary school student, arrives in the clinic and you find his blood pressure is 180/80. The history is unremarkable, no systemic symptoms or signs elicited (no headache, visual disturbance,chest pain, dizziness, collapse, urinary symptoms). The examination is normal. No significant previous medical history or family history of hypertension. He is not on any medications. He denies smoking or having taken illicit drugs. BMI is 25. What investigations are you going to order?  
James Wong
over 5 years ago
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21

Amal Mattu's ECG Case of the Week: December 15, 2014

Chest pain, brady, hypotensive...what to do? ___________________________________ Dr. Amal Mattu, an Emergency Physician with University of MD, brings you fre...  
youtube.com
over 4 years ago
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Amal Mattu's ECG Case of the Week: December 15, 2014 - YouTube

Chest pain, brady, hypotensive...what to do? ___________________________________ Dr. Amal Mattu, an Emergency Physician with University of MD, brings you fre...  
youtube.com
over 4 years ago
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Amal Mattu's ECG Case of the Week: December 8, 2014

33 YOM with chest pain after Jiu Jitsu ___________________________________ Dr. Amal Mattu, an Emergency Physician with University of MD, brings you free week...  
youtube.com
over 4 years ago
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0

Amal Mattu's ECG Case of the Week: December 8, 2014 - YouTube

33 YOM with chest pain after Jiu Jitsu ___________________________________ Dr. Amal Mattu, an Emergency Physician with University of MD, brings you free week...  
youtube.com
over 4 years ago
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Amal Mattu's ECG Case of the Week: October 6, 2014

23 year old female with chest pain ___________________________________ Dr. Amal Mattu, an Emergency Physician with University of MD, brings you free weekly e...  
youtube.com
over 4 years ago
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12

Scans for clinic patients may cut heart attack risk, study finds

Routine heart scans for patients referred to cardiac clinics with chest pain could reduce heart attack rates, research suggests.  
medicalnewstoday.com
over 4 years ago
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24

EM:RAP Special Edition- A Defensible Chest Pain ADP

Dr. Mattu reviews the ADP that he endorses for chest pain patients based on the current guidelines of the American Heart Association. An important topic for all Emergency Physicians and presented gratis by EM:RAP.  Feb 2015 Low Risk Chest Pain Evaluation and Disposition Guideline-final-1 Stay up-to-date by subscribing to EM:RAP Today!  
blog.hippoem.com
over 4 years ago
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26

Chest Pain: What is the Value of a Good History? - R.E.B.E.L. EM - Emergency Medicine Blog

Getting a good chest pain history can give you specific aspects of the history that can increase or decrease the likelihood that a patient has acute coronary syndrome (ACS) and/or AMI  
rebelem.com
over 4 years ago
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Is Coronary CT worth it? - ercast.org

If we can look directly at the coronary anatomy, why not do it before sending chest pain patients home from the emergency department?  
blog.ercast.org
over 4 years ago
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Dr. Smith's ECG Blog: Chest Pain and Right Bundle Branch Block

Instructive ECGs in Clinical Context ----Archives, Popular Posts, and an Index of all ECGs are down the right-hand side.  
hqmeded-ecg.blogspot.com
over 4 years ago
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Asthma in Adults

Say what? Chronic inflammation of your patient’s bronchi. Their bronchi are hypersensitive to environmental or intrinsic stimuli, leading to reversible episodes of bronchial constriction and mucosal edema. Your patient will report: Wheezing Cough Dyspnea Chest tightness Chest pain You will ask about: Comorbid diseases - you do not want to overlook another etiology to your…  
foamneedssoap.com
over 4 years ago
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Pigtail Insertion - Emergency Physicians Monthly

It’s a typical busy Saturday night in your ED. The next chart you pick up is a 15-year-old male with cough shortness of breath and chest pain for one day. He is tall, with normal vitals and in no distress, and you note decreased breath sounds on his right side. Chest X-ray confirms it: pneumothorax.  
epmonthly.com
over 4 years ago
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Acute chest pain, bradycardia, and hypotension • /r/Foamed

reddit: the front page of the internet  
reddit.com
over 4 years ago