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CHEST PAIN - Coggle Diagram
CHEST PAIN
Assessment
History
SOCRATES
Clinical Examination (Physical)
heart sounds
BP in both arms
HR - rate rhythm
JVP
Carotid pressure
Ankle/sacral oedema
Chest wall examination
Pallor
Abdo exam
Neck exam
Skin exam
Temperature
Differentials
Acute coronary syndrome
Stable angina
Aneurysm
Pericarditis
Acute CCF
Arrhythmias
PE
Pneumothorax
Community Acquired Pneumonia
Asthma
Lung CA
Pulmonary Embolism
Requires Hospital Admission
RR > 30
Tachycardia > 130 bpm
Systolic BP < 90mmHg
Diastolic BP <60mmHg
Oxygen saturations < 92%
Altered level of consciousness
Temp > 38.5
Current Chest Pain
CAUSES
MSK disorders
GI disease
Stable angina
Psychosocial & Psychological disorders
Investigations
ECG
Bloods - FBC, TFT, Lipids, UES
Bloods - LFT, CRP
Chest X ray
Not requiring Hospital Admission
Urgent same day assessment ECG