Documente Academic
Documente Profesional
Documente Cultură
BY
DR. OMAIMA FATHY
E.R. SPECIALIST
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Chest pain
Common complaint of acute care settings.
5% of ED visits.
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Severity of Chest pain correlates
with gravity of its cause
WRONG
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Pathophysiology
Alternate pain fibers are classified into 2 broad categories Visceral &
Somatic.
Those experiencing visceral pain are more likely to use terms such as
discomfort, heaviness, or aching.
Visceral pain fibers are found in internal organs such as blood vessels.
The dermis and parietal pleura are innervated by somatic pain fibers.
pain from somatic fibers is usually easily described, precisely located, often
referred to a different area of the body corresponding to an adjacent
somatic nerve experienced as a sharp sensation.
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Causes of chest pain
Cardiac
Vascular
Pulmonary
Gastrointestinal
Musculoskeletal
Others
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Cardiac causes
Aortic stenosis
Hypertrophic
cardiomyopathy
Pericarditis
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Vascular causes
Aortic dissection
Pulmonary embolism
Pulmonary hypertension
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Pulmonary causes
Pleuritis or pneumonia
Tracheobronchitis
Pneumothorax
Tumor
Eosophageal reflux
Eosophageal spasm
Mallory-Wiss tear
Biliary disease
Pancreatitis
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Musculoskeletal causes
Cervical disk disease
Costochondritis
Subacromial bursitis
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Others
Herpes zoster
Emotional
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CAD
Stable angina pectoris
Decubitus angina
Cardiac syndrome X
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