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MR. Lin 69y/o - Coggle Diagram
MR. Lin 69y/o
impression
neuro
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pain often due to accidents or other injuries , can be a sign of increased heart rate, blood diverted to major organ, and low blood pressure
cardiovascular
1.CAD,Acute coronary syndrome 2. Acute aortic dissection 3. Cardiac tamponade
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1.CAD: 三高(DM, HTN, Dyslipidemia), 病人症狀符合AMI典型症狀; 2.Aortic dissection (病患有未控制的HTN): 3.Cardial tamponade: chest pain
gastrointestinal tract
1.Gastrititis; 2.GERD; 3.Peptic ulcer; 4.Pancretitis; 5.Esophagitis; 6.Lactose intolerance; 7.PPU; 8.藥物：aspirin, NSAIDs;
chest
- Pulmonary embolism 2. Tension pneumothorax
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endocrine
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chest pain
Hyperthyroidism A subset of patients can experience angina like chest pain or true myocardial ischemia, even with normal coronaries, coronary vasospasm, although myocardial infarction is rare.
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aortic dissection
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clinical traid
文獻
1.Abrupt onset of thoracic or abdominal pain with a sharp, tearing, and/or ripping character
2.A variation in pulse (absence of a proximal extremity or carotid pulse) and/or blood pressure (>20 mmHg difference between the right and left arm)
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