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chest discomfort - Coggle Diagram
chest discomfort
病生理機轉
cardiac
分類
pericardial disease
pericarditis
presenting symptoms
尖銳痛，輻射至斜方肌
呼吸時會痛
坐下前傾舒緩
PE
friction
檢查
EKG
ST elevation
PR interval下降
心包積液
CAD disease
myocardial ischemia
檢查
EKG
ST depression
T inversion
ST elevation
blood test
troponin上升
presenting symptoms
呼吸困難
冒汗
噁心嘔吐
胸悶、灼熱感
輻射痛至頸、下巴、左右臂
心悸
pulmonary
分類
pneumothorax
presenting symptoms
尖銳肋膜痛
PE
hyperresonance
Breath sound decrease
檢查
X ray
pneumonia
presenting symptoms
尖銳肋膜痛
PE
friction
pleuritis
presenting symptoms
肋膜痛
呼吸困難
發燒
咳嗽、痰
PE
呼吸速率上升
crackles
檢查
X ray
infiltration
vascular
分類
aortic dissection
presenting
symptoms
撕裂、刀割痛，前後肩頰骨中央
PE
高、低血壓
不對稱血壓和脈搏減弱
局部神經功能不足
檢查
X ray
主動脈瓣閉鎖不全
縱膈腔變寬
假腔
pulmonary hypertension
presenting symptoms
用力時有壓迫感
用力時呼吸困難
PE
血氧濃度下降
p2心音增強
right ventricle heave
右側S3、S4心音
pulmonary infarction
presenting symptoms
肋膜痛
PE
呼吸速率、心律上升
血氧濃度下降
檢查
EKG
心軸右偏
RBBB
sinus tachycardia
V1-4 T inversion
V1-3 ST elevation
CT
definition
feelings described as sharp, dull, pressure, heaviness or squeezing