Chest pain resident survival guide: Difference between revisions

Revision as of 15:57, 28 February 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Definition

Chest pain is discomfort or pain that is felt anywhere along the front of the body between the neck and the upper abdomen.

Causes

Life-Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Management

Please find below an algorithm that summarizes the approach to chest pain.

Assess EKG

Presence of ST elevation

Absence of ST elevation

Do's

Don'ts

References

Template:WikiDoc Sources

@@ Line 29: / Line 29: @@
 Please find below an algorithm that summarizes the approach to chest pain.
 {{familytree/start}}
-{{familytree | | | | | | | | | A01 | | | | | |A01=Check vital signs<br>Stabilize the patient<br>Order an EKG<br>Concise history and physical exam}}
+{{familytree | | | | | | | | | | | | A01 | | | | | |A01=Assess EKG}}
-{{familytree | | | | | | | | | |!| | | | | | | | }}
+{{familytree | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|-|.| }}
-{{familytree | | | | | | | | | B01 | | | | | |B01=Assess EKG}}
+{{familytree | | | | | B01 | | | | | | | | | | | | B02 |B01=Presence of ST elevation|B02=Absence of ST elevation}}
-{{familytree | | | |,|-|-|-|-|-|^|-|-|-|-|-|-|.| }}
+{{familytree | | | | | |!| | | | | | | | | | | | | |!| | | | | | | | }}
-{{familytree | | | C01 | | | | | | | | | | | C02 |C01=EKG consistent with ACS|C02=EKG not consistent with ACS}}
+{{familytree | | | | | |!| | | | | | | | | | | | | B03 | | | | | | | B03= }}
-{{familytree | | | |!| | | | | | | | | | | | |!| }}
+{{familytree | |,|-|-|-|+|-|-|-|.| | | |,|-|-|-|-|-|^|-|-|-|-|-|.| | }}
-{{familytree | |,|-|^|-|-|-|.| | | | | | | | D01 |D01=Order a CXR}}
+{{familytree | C01 | | C02 | | C03 | | C04 | | C05 | | C06 | | C07 | C01= | C02= | C03= | C04= | C05= | C06= | C07= }}
-{{familytree | E01 | | | E02 | | | | | | | | |!| | | |E01='''STEMI'''<br>Revascularization|E02='''NSTEMI'''<br>Risk stratification}}
+{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }}
-{{familytree | | | | | | | | | | |,|-|-|-|-|-|+|-|-|-|-|-|.|}}
+{{familytree | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D07 | D01= | D02= | D03= | D04= | D05= | D06= | D07= }}
-{{familytree | | | | | | | | | | F01 | | | | F02 | | | | F03 |F01='''Pneumothorax'''|F02='''Aortic dissection'''|F03=No significant findings on CXR}}
+{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| }}
-{{familytree | | | | | | | | | | | | | | | | |!| | | | | |!| | | }}
+{{familytree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E07 | E01= | E02= | E03= | E04= | E05= | E06= | E07= }}
-{{familytree | | | | | | | | | | | | | | | | H01 | | | | H02 | |H01=Control BP<br>Obtain a CT scan<br>Emergent surgery consult|H02=Assess the pretest probability<br>for '''pulmonary embolism'''}}
 {{familytree/end}}