omar a. othman. 5% of all ed presentation associated with critical diagnosis chest pain
TRANSCRIPT
Chest Pain & Shortness of
Breath
Omar A. Othman
5% of all ED presentation Associated with critical diagnosis
Chest Pain
Historical Points
Think about differential diagnosis before asking about
history points
Differential Diagnosis
Critical Acute coronary
syndromes (ACS), aortic dissection, pulmonary embolism
(PE), pneumothorax, Pericarditis with
tamponade esophageal rupture
Others
Valvular heart disease
Pneumomediastinum Esophageal reflux Trauma Pneumonia
Now Back to History
Age>45 yrs Hypertension Cigarette use Oral contraceptives Prolonged immobilization Pregnancy Preceded by infection Drugs
High Risk Association
Labs , assessment and
radiology Treatment
Management
Dyspnea
Dyspnea Tachypnea Hyperpnea Hyperventilation Orthopnea Paroxysmal nocturnal dyspnea
Terms
Differential Diagnosis
Duration of Dyspnea. Onset of Dyspnea. Positional Changes. Grades
History Points
Labs, Rad. And assessment
ABG Complete blood count Chemistry ECG Chest radiograph Bronchoscopy
Management
Treatment
