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RED FLAGS OF CHEST PAIN, References MTB page 80 https://www.aafp…
RED FLAGS OF CHEST PAIN
:red_flag:CHEST WALL PAIN
pain triggers on palpation
absence of cough
localized pain
stinging pain
:red_flag:PNEMONIA
Egophony
dullness to percussion
clinical signs
Fever
:red_flag: PULMONARY EMBOLISM
Highest, lowest, and moderate pretest probability based on WEll's criteria
Shortness of breath
Tachycardia
HYpoxia
(tps://www.researchgate.net/figure/Different-radio-graphical-signs-on-chest-X-ray-of-PE_fig2_350461105)
:red_flag: Acute Myocardial Infarction
Third heart sound
Hypotension
pain radiating to jaws and both arms
sweating
Link Title
:red_flag:HEART FAILURE
Pulmonary edema on chest radiography
History of acute myocardial infarction
History of heart failure
Clinical impression
Link Title
:red_flag:Pericarditis
ECG(diffuse ST segment elevation, PR segment depression and without T wave inversion)
Pain aggravated by inspiration
Pericardial Friction Rub
Pain lessons on leaning forward
Young <40
(
https://www.healio.com/cardiology/learn-the-heart/ecg-review/ecg-topic-reviews-and-criteria/pericarditis-review
)
:red_flag: Gastroesophageal Reflux
Retrosternal burning pain
sour and bitter taste
Acid regurgitation
Better with PPI use on longterm
:red_flag: Panic/Anxiety Disorders
Last our weeks history of fear or panic state?
:red_flag: Acute thoracic Aortic DIssection
Acute chest pain or back
Unequal BP between arms
Link Title
References
MTB page 80
https://www.aafp.org/pubs/afp/issues/2020/1215/p721.html
