CHEST PAIN
Chest Pain Chest pain can happen in your upper body for a number of reasons, including heart issues. It can feel tight, achy or sharp, among other sensations. It can spread to your back and arms. You should always take chest pain seriously and get medical attention quickly. Chest pain causes can range from heartburn or pneumonia to a heart attack. What is chest pain? Chest pain is a pain in any area of your chest. It may spread to other areas, including down your arms, into your neck or jaw. Chest pain can be sharp or dull. You may feel tightness, achiness, or you may feel like your chest is being crushed or squeezed. Chest pain can last for a few minutes or hours. In some cases, it can last six months or longer. Anyway to understand the possible causes of chest pain take the patient a proper history and proper physical examination but the proper diagnosis you can reach after proper investigation, and there is RULE TO REMEMBER = rule out conditions require urgent management like IHD{ischemic heart disease} and so on Also if tension pneumothorax ia suspected as a cause of chest pain, don't wait for a chest flim, decompress the pneumothorax immediately with large-bore cannula inserted into the 2nd intercostal space in midclavicular line,,, source differinatal Dx Churchills pocket book📖 When you analysis the Pain chest use the famous word SOCRATES [easy to remember the pain related quiz] For example S for site< pain of ischemic is retrosternal while pain of peptic is central C for character <angina character is tight and crushing, while the pain of <aortic dissection has tearing quality <esophageal reflux may be described burning pain A for aggravating factor's and R for reliefing factor's <angina may be precipitated by effort*a defining characteristic* other know precipitated factor's of angina are emotion, food cold weather Both angina and esophageal spasm may be relieved by GTN which relaxes smooth muscle. Antacids will relief the pain of esophageal reflux but not angina. The pain associated with pericarditis may be relieved by sitting foward There are many examples like this Investigation usually generall investigation like *FBC elevated WBC will be expected with pneumonia and to lesser extent in a myocardial infarction *Serum cardiac markers :following a MI cardiac troponin rises within 6 hours and remains elevated for up to two week's *ECG {read the changes can occur} *CXR for looking for pneumothorax and looking other lung problems, dissection of aorta may widen it's width causing a bulge *Echo, and so on,,,,, *upper GIT endoscopy in case of esophagitis,,, Best plan it's the God's plan 🙌🏻 Allah bless all of us🌹💚 @LIBANGEEREH📖