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Approach to patients with chest pain: differential diagnoses, management & ECG

…Ischemic chest pain is more easily provoked after a meal because food intake redistributes blood to the gastrointestinal tract which reduces blood availability in the…

Abscess incision and drainage

…malignancy differential Surgeon or mammography Sole of the foot Deep compartments Orthopaedic surgeon Close to large vessels, in the groin or on the neck Bleeding…

Clinical application of ECG in chest pain & acute myocardial infarction

ECG Myocardial ischemia and infarction Use of ECG in acute coronary syndromes & chest pain patients An ECG must be performed on all patients seeking medical…

Differential Diagnosis of Chest Pain: A Clinical Overview

…2], [5]. Localization: While often retrosternal, the pain may be localized to the left anterior chest and can radiate to the neck, shoulders, and arms…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…LCx supplies the posterior descending artery (PDA) in a left dominant circulation (i.e. 10 15% of cases). Clinically, patients present with severe chest pain…

Left Ventricular Thrombus After Myocardial Infarction

…Ventricular tachyarrhythmia. Features suggesting systemic embolization. In patients with recurrent chest pain and hemodynamic compromise after MI, mechanical complications should be considered. Transthoracic echocardiography (TTE…

Paracentesis

…straightforward: ultrasound to find the fluid, an insertion site in the left lower quadrant lateral to the rectus sheath, and a cell count plus albumin…

Performing Echocardiographic Examinations

…from apical windows. The patient's left arm should be placed under the patient's head. This stretches in the chest wall, such that the…

Exercise stress test on cycle ergometer

…Indications Evaluation of chest pain with an intermediate pre test probability of coronary artery disease. Assessment of exercise capacity and symptoms in known heart disease…

Dix–Hallpike test and Epley manoeuvre

…Repeat on the left side. A positive test in the posterior canal is characterised by: A latency of 1–5 seconds before the nystagmus begins…

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