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Clinical application of ECG in chest pain & acute myocardial infarction

…Other symptoms include dyspnea, pain radiating to the left arm/shoulder/throat, palpitations, back pain and selected cases of upper abdominal pain. An ECG recording…

Differential Diagnosis of Chest Pain: A Clinical Overview

…with ischemic heart disease is broader than chest pain itself, encompassing symptoms like tightness, pressure, and discomfort in the chest, arms, neck, jaw, upper back…

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

…jaw, back, upper abdomen, and left or right arm. Onset and evolution How do symptoms start (suddenly or gradually)? When did the patient first note…

Eye examination and corneal foreign body

…movements in all directions; pain on upward gaze may suggest an orbital floor fracture. 4. Topical anaesthesia into the lower fornix. 5. Evert the upper…

Abscess incision and drainage

…care or in the emergency department without contacting the appropriate specialty: Location Risk Management : : : Medial triangle of the face (nasal root, alae nasi, upper lip…

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

…more often than anything else. Record a resting ECG both supine and sitting, and resting blood pressure in both arms. Procedure 1. Exercise protocol: start…

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