... Chapter 013. Chest Discomfort
(Part 3)
Unstable Angina and Myocardial Infarction
(See also Chaps. 238 and 239) ...
nausea, and light-headedness.
The physical examination may be completely normal in patients with chest
discomfort due to ischemic heart disease. Careful auscultation during ischemic
episodes may ... inflammation (e.g., myocardial infarction or
uremia) and...
... of
Dyspnea
, decreased
Chapter 013. Chest Discomfort
(Part 2)
Angina Pectoris
(See also Chap. 237) The chest discomfort of myocardial ischemia is a
visceral discomfort that is usually ... intensity
rather than quality.
Table 13-2 Typical Clinical Features of Major Causes of Acute Chest
Discomfort
Condition Durati
on
Qualit
y
Location
Associat
ed Features
.....
...
Chapter 013. Chest Discomfort
(Part 1)
Harrison's Internal Medicine > Part 2. Cardinal Manifestations and
Presentation of Diseases > Section 1. Pain > Chapter 13. Chest Discomfort ...
Presentation of Diseases > Section 1. Pain > Chapter 13. Chest Discomfort
Chest Discomfort: Introduction
Chest discomfort is one of the most common challeng...
... Chapter 013. Chest Discomfort
(Part 4)
Pulmonary Embolism
(See also Chap. 256) Chest pain due to pulmonary embolism is believed to
be ... departments with
acute chest discomfort have panic disorder or other emotional conditions. The
symptoms in these populations are highly variable, but frequently the discomfort is
described ... biliary disease, and pancreatitis. Th...
... chest discomfort, with the diagnostic entities that are most
important for consideration at each stage of the evaluation.
Table 13-3 Considerations in the Assessment of the Patient with Chest ... evaluation.
Table 13-3 Considerations in the Assessment of the Patient with Chest
Discomfort
1. Could the chest discomfort be due to an acute, potentially life-
threatening con...
... cardiac examination should seek pericardial rubs,
Chapter 013. Chest Discomfort
(Part 6)
Acute Chest Discomfort
In patients with acute chest discomfort, the clinician must first assess the ... sounds. Pressure on the
chest wall may reproduce symptoms in patients with musculoskeletal causes of
chest pain; it is important that the clinician ask the patient if the che...
...
with chest pain and a nondiagnostic electrocardiogram. J Am Coll Cardiol 46:928,
2005
Tsai TT et al: Acute aortic syndromes. Circulation 205:3802, 2005
Chapter 013. Chest Discomfort
(Part ... condition. Appropriate tests
include a chest CT scan with contrast, MRI, or transesophageal echocardiography.
Guidelines and Critical Pathways for Acute Chest Discomfort
Guidelin...
... wall is usually constant and aching.
Movement, prolonged standing, and pressure accentuate the discomfort and
muscle spasm. In the case of hematoma of the rectus sheath, now most frequently ... vesicles is
generally accentuated by the slightest pressure on either of these organs. The
abdominal discomfort is of dull aching character and is poorly localized.
Metabolic Abdominal Crises...
... reflects growth in the available data on health in the poorest countries
Chapter 002. Global Issues in Medicine
(Part 3)
The Economics of Global Health
Political and economic concerns have