CHEST PAIN

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CHEST PAIN

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

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CHEST PAIN

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

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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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