Download Cecil Essentials of Medicine 9th Edition PDF
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Cecil Essentials of Medicine 9th Edition
Let us Discuss something about chest pain now
Since fewer than 10% of patients arriving in the emergency department with chest pain actually have a myocardial infarction, it is critical to know whose chest pain is “real” and whose is less dangerous. For any patient’s chief complaint, you must ask the details of the presenting symptoms. Always ask:
• When did the pain start?
• Does it get better or worse with a change in position or breathing?
• How long did it last?
• Did anything make it better or worse? (e.g., rest or exertion)
• What is the “quality” of the pain? (e.g., sharp vs. dull, squeezing vs. pinpoint)
• Does the pain radiate to other body parts?
• Were any medications used?
To evaluate for chest pain, consider:
• Is the pain cardiac?
• Does the pain change with bodily position or respiration?
• Is there chest wall tenderness?.
the above is just an Example senario for an doctor who is in Emergency department .