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Chest Pain in the Emergency Department: Diagnostic Pathways

…symptom. It includes pain, pressure, tightness, heaviness, burning, or discomfort in the chest and may extend to the arms, shoulders, neck, jaw, upper back, abdomen…

Clinical application of ECG in chest pain & acute myocardial infarction

…back pain and selected cases of upper abdominal pain. An ECG recording costs approximately $10 (10€) and may reduce morbidity and mortality substantially in patients…

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…

Opioid therapy in severe pain

…lower doses than for pain). An opioid is rarely the right choice in nociplastic or neuropathic pain, in chronic non cancer pain, or in headache…

Paracentesis

…error in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain…

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…

Soft tissue corticosteroid injection

…corticosteroid and the lidocaine in the same syringe. The anaesthetic confirms that the injection has gone to the right place — immediate pain relief is a…

Dix–Hallpike test and Epley manoeuvre

…recent stroke or TIA in the vertebrobasilar territory. Retinal detachment. Relative: Marked cervical restriction of movement or pain — use the Semont manoeuvre or the side…

Casting and immobilisation

…or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal…

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