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chest discomfort - Coggle Diagram

- - - - tall and thin
      - long arms legs fingers toes
      - 骨骼驚奇
    - - genetic disorder undermining connective tissue
        
        structure abnormalies
        
        aortic aneurysm
        
        treatment
        
        surgery
        
        aortic dissection
        
        Others needed to know
        
        Different blood pressure between bilateral arms
        
        About ECG
        
        Nonspecific or shows normal
        
        To role out myocardial infarction
        
        diagnosis
        
        CT scan shows
        
        False lumen
        
        History taking
        
        Suddenly elevated blood pressure (190/100 mmHg)
        
        About pain
        
        Location
        
        2 more items...
        
        Quality
        
        1 more item...
        
        mitral valve prolapse
        
        symptoms
        
        peripheral cyanosis
        
        pulmonary vein hypertension/effusion
      - the gene FBN1 which makes fibrin
      - the fibrin which makes up median vessel wall
    - - 有個萬一
- - - - CXR show
        
        absent lung marking
        
        Pneumothorax
        
        symptom
        
        sudden chest pain
        
        shortness of breath
        
        Consolidation
        
        Pneumonia
        
        symptom
        
        Chest pain
        
        Fatigue
        
        Cough
        
        Fever
        
        Shortness of breath
        
        Diagnosis
        
        Sputum culture
        
        Pneumococcal antigen detection
        
        Pneumococcal PCR
        
        right ventricle hypertrophy
        
        pulmonary hypertension
        
        symptom
        
        Shortness of breath
        
        Racing pulse or heart palpitations
        
        other diagnosis
        
        ECG
        
        McGinn-White sign(S1Q3T3)
        
        pneumomediastium
        
        Primary
        
        Respiratory system disease
        
        Secondary
        
        Trauma
        
        Esophageal rupture
        
        symptom
        
        Mild to severe chest pain
        
        Nausea and Vomiting with blood
        
        Fast breathing
        
        Fever
        
        widened mediastinum
    - - acute aortic syndrome
        
        aortic dissection
        
        Diagnosis
        
        Transesophageal echocardiogram
        
        CT
        
        PE
        
        Heart sound
        
        Swishing sound
        
        Blood pressure
        
        Different in two arms
        
        aortic aneurysm
        
        Diagnosis
        
        Abdominal ultrasound
        
        CT
        
        Pathophysiology
        
        Genetic susceptibility
        
        Marfan syndrome
        
        Presents
        
        Oxidative stress
        
        VSMC apoptosis
        
        Inflammation
        
        aortic intramural hematoma
        
        Diagnosis
        
        CT
        
        Transesophageal echocardiography
      - Pulmonary embolsim
        
        Diagnosis
        
        Blood test
        
        D dimer elevated
        
        CT pulmonary angiography
        
        Symptoms
        
        Tachypnea
        
        Dyspnea(rear or exertion)
        
        Calf,Thigh pain or swelling
        
        Pleuritic pain
    - - ECG
        
        ST elevation
        
        STEMI
        
        other diagnosis
        
        cardiac biomarkers
        
        elevation
        
        4 more items...
        
        other ECG signs
        
        AV block
        
        lead III ST elevation > lead II ST elevation
        
        maybe
        
        1 more item...
        
        treatment
        
        primary PCI
        
        strategy
        
        1 more item...
        
        pre-hospital
        
        strategy
        
        1 more item...
        
        History taking
        
        About chest pain
        
        Location
        
        2 more items...
        
        Quality
        
        1 more item...
        
        Duration
        
        1 more item...
        
        Risk factors
        
        Smoking, diabetes, hypertension, hyperlipidemia
        
        Other common symptoms
        
        Cold sweating, shortness of breath, anxiety, nausea/vomiting
        
        pericarditis
        
        History taking
        
        About chest pain
        
        Location
        
        1 more item...
        
        Relieving factor
        
        1 more item...
        
        Diagnosis criteria (includes at least two)
        
        History taking
        
        Sharp pleuritic pain
        
        PE finds
        
        Pericardial friction rubs
        
        ECG shows
        
        Widespread concave ST elevation
        
        Widespread PR depression
        
        Spodick’s sign positive
        
        Echocardiogram shows
        
        Pericardial effusion
        
        1 more item...
        
        Other examination
        
        Laboratory test
        
        Inflammatory biomarkers elevated (WBCs,ESR, CRP)
        
        Other signs
        
        disease
        
        Hypertrophic cardiomyopathy
        
        Diagnosis
        
        Echocardiogram shows
        
        1 more item...
        
        Cardiac MRI shows
        
        1 more item...
        
        History taking
        
        Common symptoms
        
        2 more items...
        
        Assessment
        
        ECG shows
        
        2 more items...
        
        stable angina
        
        common symptoms
        
        fatigue
        
        1 more item...
        
        shortness of breath
        
        1 more item...
        
        diagnosis
        
        ECG shows normal
        
        acute coronary syndrome
        
        unstable angina
        
        common symptoms
        
        2 more items...
        
        diagnosis
        
        2 more items...
        
        NSTEMI
        
        common symptoms
        
        2 more items...
        
        diagnosis
        
        2 more items...
    - - relieved by antacids
        
        no
        
        gallbladder disease
        
        sign
        
        pain after meal
        
        gastroscopy
        
        2 more items...
        
        wicky aching
        
        blood test
        
        1 more item...
      - burning feeling
        
        yes
        
        peptic ulcer
        
        aching in full
        
        gastric peptic ulcer
        
        aching in hunger
        
        duodenal peptic ulcer
        
        esophageal spasm
        
        symptoms
        
        dysphagia
        
        substernal pain
        
        esophageal reflux
        
        symptoms
        
        stomach acid reflux
        
        sternal burning
        
        risk factors
        
        eating fatty or fried foods
        
        drinking coffee/alcohol
        
        smoking
        
        overweight
        
        diabetes
        
        relief
        
        sitting
        
        diagnosis
        
        PPI therapy
        
        no response
        
        1 more item...
    - - trauma or strain
        
        acute solution
        
        rest ice compression
        
        chronic care
        
        rehabilitation
      - costochondritis
        
        symptoms
        
        sternal pain when deep breathing
        
        aching when compression on sternum
      - cervical disc disease
        
        symptoms
        
        feeling pins and needles in fingers
    - - Emotional and psychiatric conditions
        
        Anxiety/Panic
        
        Symptoms
        
        SNS overreact
        
        Sweating
        
        Acute rush of fear
        
        Nausea
        
        Heart palpitation