Emergency Medicine: Diagnosis and Management

Format: Hardcover

Language: English

Format: PDF / Kindle / ePub

Size: 7.36 MB

Downloadable formats: PDF

Here, Stanley Rosenbaum, MD, works with a team including residents and nurses in Anesthesiology. There are over 80 full and part-time faculty with academic appointments in the Department of Medicine, and approximately 300 board-certified volunteer clinical faculty who work with residents. Ischemic chest pain typically lasts <20 min; pain of longer duration suggests MI or an alternative diagnosis. ***RECENT ONSET or ↑ symptoms of chest discomfort occurring at REST W/O ↑ of biomarkers (e.g., creatine kinase (CK) and troponin) is consistent with UNSTABLE ANGINA. ***Patients with DIABETES, WOMEN, or the ELDERLY may present with ATYPICAL SYMPTOMS, such as dyspnea without chest pain. ***The most powerful clinical features that ↑ the probability of MI include CHEST PAIN THAT SIMULTANEOUSLY RADIATES TO BOTH ARMS, an S3, and HYPOTENSION. (A normal ECG result, chest pain that is positional, chest pain reproduced by palpation, or chest pain that is sharp or stabbing makes ischemic etiology LESS likely). ***Patients suspected of having ACS are HOSPITALIZED and evaluated with SERIAL ECGs and CARDIAC BIOMARKERS, CXR, and often ECHO-CARDIOGRAPHY.

Pages: 247

Publisher: CALLISTO REFERENCE (July 26, 2016)

ISBN: 1632397587

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