Chest Pain

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By: omarsenj (1 month(s) ago)

Hi dr you can send me the presention chest pain to my email omarsenjar@hotmail.com ,please thanks

 

By: fujing (7 month(s) ago)

Prof. Aswini Kumar, could you pls allow me to use your ppt named "chest pain"? If so, pls send to fujing1972@126.com. Thanks.

 

By: fujing (7 month(s) ago)

Excellent material for learning of chest pain. Thanks for share.

 

By: chwu32 (10 month(s) ago)

good content for initial learning of chest pain

By: drnpv (11 month(s) ago)

good presentation-Thankyou sir

Presentation Transcript

Chest pain:

Dr. Aswinikumar Surendran . MD. Professor of Medicine, MC, TVM Chest pain

Approach to patient:

Approach to patient Diagnostic possibilities Objectives Significance

Patient assessment:

Patient assessment

Patient’s sex:

Patient’s sex

Patient’s age:

Patient’s age

Patient’s addiction:

Patient’s addiction

Patient risk factors:

Patient risk factors

Assessment of chest pain:

Assessment of chest pain

Onset:

Onset Time from beginning to peak of symptoms

Site of pain:

Site of pain Site of maximum intensity of pain

Radiation:

Radiation With same intensity to another area

Duration:

Duration Period of time the pain lasted

Frequency:

Frequency How many times per sequence

Severity:

Severity Is it disabling or not interfering with work

Character:

Character Exact nature of the pain experienced

Character:

Character Exact nature of the pain experienced

Precipitating factors:

Precipitating factors Doings which make the pain appear

Relieving factors:

Relieving factors Doings which make the pain disappear

Associated symptoms:

Associated symptoms Other symptoms accompanying

Outcome:

Outcome What ultimately happened to patient

Slide 21:

Angina Pectoris

Angina pectoris:

Angina pectoris Heart’s cry for oxygen 3 types

Heart = Bank Cashier:

Heart = Bank Cashier Can’t utilize the blood inside its chamber Need coronary circulation for myocardium

Slide 24:

Stable Angina

Stable Angina:

Stable Angina Coronary occlusion 70-80%

Slide 26:

Uns table Angina

Unstable Angina:

Unstable Angina Coronary occlusion 80-90%

Slide 28:

Myocardial infarction

Myocardial Infarction:

Myocardial Infarction Coronary occlusion 100%

Slide 30:

Dissection of aorta

Aortic Dissection:

Aortic Dissection Tear in the intima and media of aorta

Slide 32:

Aortic valve stenosis

Aortic stenosis:

Aortic stenosis Obstruction to aortic blood flow

Slide 34:

Acute Pericarditis

Acute Pericarditis:

Acute Pericarditis Infection and inflammation of pericardium

Slide 36:

Pleurisy/Pneumonia

Pleurisy/Pneumonia:

Pleurisy/Pneumonia Infection and inflammation of pleura and lung

Slide 38:

Spontaneous Pneumothorax

Spontaneous Pneumothorax:

Spontaneous Pneumothorax Collection of air in the pleural cavity

Slide 40:

Pulmonary Embolism

Pulmonary embolism:

Pulmonary embolism Total occlusion of a major pulmonary artery

Slide 42:

Gastro-esophageal reflux disease

Esophageal reflux:

Esophageal reflux Acid eructation from stomach into esophagus

Slide 44:

E sophageal spasm

Esophageal spasm:

Esophageal spasm Strong contraction of esophagus

Slide 46:

Peptic ulcer

Peptic ulcer:

Peptic ulcer Ulceration of the stomach

Slide 48:

Costochondritis

Costochondritis:

Costochondritis Inflammation of costochondral junction

Slide 50:

Herpes Zoster

Herpes Zoster:

Herpes Zoster Varicella infection involving an intercostal nerve \

Slide 52:

Hysterical chest pain

Hysterical :

Hysterical Emotional and psychiatric cause

Chest pain:

Chest pain

Thank You:

Thank You For The Patient Listening