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Opioid therapy in severe pain

…breathlessness in the palliative phase (at lower doses than for pain). An opioid is rarely the right choice in nociplastic or neuropathic pain, in chronic…

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…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…may occur. Pain usually involves the central chest or epigastrium, may radiate to the arms, and less often to the abdomen, back, lower jaw, neck…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…or lower jaw. Discomfort may extend superiorly as far as the occipital region but typically does not radiate below the umbilicus. Epigastric or subxiphoid pain…

Brugada syndrome: ECG, clinical features and management

…chest pain (30%) and dyspnea (10%). The major ECG findings in ARVC are T wave inversion in V1–V3 (in the absence of right bundle…

Chest Pain in the Emergency Department: Diagnostic Pathways

…to both arms or shoulders has a particularly strong association with myocardial infarction in the cited clinical data, although right arm radiation has not sho

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

…diagnosis, as the syndrome associated with ischemic heart disease is broader than chest pain itself, encompassing symptoms like tightness, pressure, and discomfort in the chest…

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

…The table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed…

Performing Echocardiographic Examinations

…marker, which is used for orienting in the ultrasound image. Basically, the index marker is used to determine left and right in the obtained image…

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