A Simple Guide to Chest Pain, Diagnosis, Treatment and Related Conditions
A Simple Guide to Chest Pain, Diagnosis, Treatment and Related Conditions
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Overview
This book describes Chest Pain, Diagnosis and Treatment and Related Diseases
The fastest way to get attention in the ER is to utter the words, chest pain!.
Chest pain is one of the main reasons people go to the emergency department of a hospital.
There may be a dull aching sensation, pressure across the chest, sharp, or stabbing pain.
Occasionally chest pain feels crushing or burning.
In some patients, the pain travels up the neck, into the jaw, and then extends to the back or down one or both arms.
Chest pain can be caused by a number of factors ranging from serious heart-related disorders to causes that are not as life-threatening.
Only 13 % of visits to the emergency department for chest pain are due to a heart-related disorder.
New Guideline for Chest Pain:
Chest pain means more than pain in the chest.
High-sensitivity troponins are preferred.
Early care is needed for acute symptoms.
Testing is not needed routinely in low-risk patients.
Women may be more likely to present with other symptoms (nausea, shortness of breath).
Identify patients most likely to benefit from further testing.
Non-cardiac is in, atypical is out.
Knowledge of heart-related causes of chest pain is important for an accurate diagnosis and treatment plan.
A. Heart-related causes
Heart attack
A heart attack can result from blockage of blood flow, often from a blood clot, to the heart muscle.
The blood supply that provides the heart with oxygen can be disconnected, causing heart tissues and muscles to start dying.
Angina
Angina is the chest pain symptom produced by poor blood flow to the heart.
This manifests as a crushing pain in the middle of the chest.
Aortic dissection
If the inner layers of aorta separate, blood is compelled to move between the layers and can induce the aorta to rupture.
Chest pain may be the first sign of this disorder
Inflammation of the sac around the heart (pericarditis)
This heart disorder normally produces sharp pain that becomes worse when breathing in or lying down.
Pericarditis is manifested by sharp chest pains that become worse with deep breathing.
B. Digestive causes
Heartburn
This painful, burning sensation behind the sternum happens when stomach acid refluxes up from the stomach into the esophagus
C. Muscle and bone causes
Costochondritis
The cartilage of the rib cage, mainly the cartilage that joins the ribs to the breastbone, becomes inflamed and painful to movement, breathing and palpation.
Sore muscles
Chronic pain syndromes, such as fibromyalgia, can induce constant muscle-related chest pain.
Injured ribs
A bruised or broken rib due to injury can produce chest pain.
D. Lung-related causes
Blood clot in the lung (pulmonary embolism)
A blood clot that is blocked in a lung artery can obstruct blood flow to lung tissue.
Pulmonary embolism is a serious disorder needing instant treatment and chest pain is a frequent symptom.
Collapsed lung (Pneumothorax)
The chest pain linked with a collapsed lung normally starts suddenly and can persist for hours and is normally linked with shortness of breath.
Shingles
Produced by a reactivation of the chickenpox virus, shingles can cause pain in the chest wall nerve and form a band of blisters from the back around to the chest wall.
The most life-threatening disorders involve the heart or lungs.
Chest pain does not always suggest a heart attack but heart and lung disease should be excluded first with an ECG and Chest X-ray..
TABLE OF CONTENT
Introduction
Chapter 1 Chest Pain
Chapter 2 Myocardial Infarction
Chapter 3 Aortic Dissection
Chapter 4 Pericarditis
Chapter 5 Blood Clot in Lungs
Chapter 6 Pneumothorax
Chapter 7 Costochondritis
Chapter 8 Gastroesophageal Reflux
Epilogue
Product Details
| BN ID: | 2940165118043 |
|---|---|
| Publisher: | Kenneth Kee |
| Publication date: | 12/16/2021 |
| Sold by: | Smashwords |
| Format: | eBook |
| File size: | 568 KB |
About the Author
Medical doctor since 1972.
Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.
Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.
Dr Kenneth Kee is still working as a family doctor at the age of 70.
However he has reduced his consultation hours to 3 hours in the morning and 2 hours in
the afternoon.
He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.
His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com
This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.
From which many free articles from the blog was taken and put together into 1000 eBooks.
He apologized for typos and spelling mistakes in his earlier books.
He will endeavor to improve the writing in futures.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.
The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.
He does not do any night duty since 2000 ever since Dr Tan had his second stroke.
His clinic is now relocated to the Buona Vista Community Centre.
The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.
He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting
with the Apple computer and going to PC.
The entire PC is upgraded by himself from XT to the present Pentium duo core.
The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.
He is also into DIY changing his own toilet cistern and other electric appliance.
His hunger for knowledge has not abated and he is a lifelong learner.
The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.
This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.
Dr Kee is the author of:
"A Family Doctor's Tale"
"Life Lessons Learned From The Study And Practice Of Medicine"
"Case Notes From A Family Doctor"