Patient with chest pain in outpatient practice. Guide for primary care physicians
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Breast pain can be the earliest and until a certain moment the only manifestation of the heart, respiratory system, gastrointestinal tract, neurotic and affective disorders. When evaluating the pain in the chest, the prognostic significance of the disease is necessarily taken into account, which could cause the appearance of pain.
Chronic (intermittent or stable) chest pain, as a rule, does not require emergency care; additional laboratory and instrumental studies are carried out in a planned way to clarify its generization.
And, conversely, an acute intensive chest pain, not bought by taking nitrates for 15 minutes or more, usually requires urgent medical care and emergency hospitalization of the patient. The doctor should first of all exclude life -threatening conditions - ACS, stratification of the chest aorta, pericarditis, fat. This requires the maximum possible detail of complaints with the clarification of the nature of the pain, its localization, the duration of the pain attack, etc., as well as the identification of the “second symptom”.
It is obvious that from the first minutes of the examination, the doctor usually forms a certain diagnostic concept, and in order to confirm or reject it, a more detailed survey of the patient is often necessary (the corresponding algorithms are presented in chapters devoted to individual nosological forms).
The book covers the main issues of differential diagnosis of chest pain and contains algorithms for detecting frequently found diseases and syndromes
Chronic (intermittent or stable) chest pain, as a rule, does not require emergency care; additional laboratory and instrumental studies are carried out in a planned way to clarify its generization.
And, conversely, an acute intensive chest pain, not bought by taking nitrates for 15 minutes or more, usually requires urgent medical care and emergency hospitalization of the patient. The doctor should first of all exclude life -threatening conditions - ACS, stratification of the chest aorta, pericarditis, fat. This requires the maximum possible detail of complaints with the clarification of the nature of the pain, its localization, the duration of the pain attack, etc., as well as the identification of the “second symptom”.
It is obvious that from the first minutes of the examination, the doctor usually forms a certain diagnostic concept, and in order to confirm or reject it, a more detailed survey of the patient is often necessary (the corresponding algorithms are presented in chapters devoted to individual nosological forms).
The book covers the main issues of differential diagnosis of chest pain and contains algorithms for detecting frequently found diseases and syndromes
Author:
Author:Тополянский А. В. Люкманов Р. Х.
Cover:
Cover:Soft
Category:
- Category:Medical Books
Publication language:
Publication Language:Russian
Paper:
Paper:newspaper
Age restrictions:
Age restrictions:12+
ISBN:
ISBN:978-5-04-106531-7
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