Tako-Tsubo syndrome: an important differential diagnosis in patients with acute chest pain

2010 ◽  
Vol 122 (1-2) ◽  
pp. 37-44 ◽  
Author(s):  
Daniela Primetshofer ◽  
Rusudan Agladze ◽  
Horst Kratzer ◽  
Johann Reisinger ◽  
Peter Siostrzonek
Keyword(s):  
Differential Diagnosis ◽  
Chest Pain ◽  
Acute Chest Pain ◽  
Important Differential Diagnosis

Pain Emergencies and Complications of Pain Treatments

2019 ◽  
pp. 221-240
Author(s):  
Isaac Tong ◽  
R. Jason Yong ◽  
Beth B. Hogans
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Clinical Assessment ◽  
Associated Factors ◽  
Clinical Decision Making ◽  
Acute Chest Pain ◽  
Clinical Decision ◽  
Common Occurrence ◽  
Pain Characteristics

Chapter 13 reviews some common pain-associated emergencies and also discusses some complications of pain treatments that require immediate attention. Pain is a common occurrence in emergent illness, and some complications of pain treatments require emergent management. Chest pain is an excellent example of clinical decision-making following a process of organized, rapid pain assessment and then diagnostic and treatment reasoning based on the findings and observations of the clinical assessment. Providers assessing patients for acute chest pain elicit basic pain characteristics of region, quality, severity, and timing as well as usually associated factors and then pursue testing and treatment for elements in the differential diagnosis accordingly. The chapter illustrates this same process applied to conditions of acute abdominal, limb, headache, and spine emergencies. In the second part of the chapter, emergencies arising in the context of pain treatments are discussed, including overdose and withdrawal from opioids, benzodiazepines, and other pain-active medications as well as pump and device complications.

scholarly journals Epipericardial Fat Necrosis. An Important Differential Diagnosis of Chest Pain

2017 ◽  
Author(s):  
Núbia Bernardes Carvalho ◽  
Natália de Paula Lopes e Silva ◽  
Pedro Paulo Nunes Pereira ◽  
André Volani Morganti ◽  
Sinval Lins Silva ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Chest Pain ◽  
Fat Necrosis ◽  
Important Differential Diagnosis

scholarly journals A rare Bochdalek hernia in an adult: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi-Min Gu ◽  
Xiao-Yang Li ◽  
Wen-Ping Wang ◽  
Long-Qi Chen
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Chest Pain ◽  
Respiratory Distress ◽  
Rare Case ◽  
Acute Chest Pain ◽  
Bochdalek Hernia ◽  
Case Presentation ◽  
Developmental Abnormalities

Abstract Background Symptomatic Bochdalek hernias are found mainly in infants in respiratory distress and occur rarely in adults. Case presentation We report a rare case of Bochdalek hernia associated with developmental abnormalities in an adult who exhibited acute chest pain and dyspnea on exertion. Conclusions This case highlights the importance of the differential diagnosis of acute left-sided chest pain and antenatal examination.

scholarly journals Integrating Osteopathic Evaluation and Treatment in a Case Report of Acute Chest Pain

2019 ◽  
Vol 29 (2) ◽  
pp. 27-30
Author(s):  
Sheldon. C. Yao
Keyword(s):  
Health Care ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Chest Wall ◽  
Financial Burden ◽  
Acute Chest Pain ◽  
Anterior Chest Wall ◽  
Patient Response ◽  
Pain Syndromes ◽  
Musculoskeletal Education

Abstract Chest pain is an emergent presentation associated with a wide differential diagnosis including cardiac, pulmonary, gastrointestinal, and musculoskeletal origins. The evaluation of acute chest pain can be costly and can be a financial burden on the health care system. Integrating osteopathic diagnosis and treatment can assist with identifying and alleviating potential musculoskeletal sources of pain. This case illustrates how applying osteopathic manipulative medicine (OMM) benefited a 61-year-old woman presenting with anterior chest wall pain. Patient response to OMM can assist physicians with better managing acute chest wall pain syndromes. Improved musculoskeletal education can potentially improve medical management of chest pain of musculoskeletal origin.

ECG-Gated 64-MDCT Angiography in the Differential Diagnosis of Acute Chest Pain

2007 ◽  
Vol 188 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Thorsten R. C. Johnson ◽  
Konstantin Nikolaou ◽  
Bernd J. Wintersperger ◽  
Andreas Knez ◽  
Peter Boekstegers ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Chest Pain ◽  
Acute Chest Pain ◽  
Mdct Angiography

A Neural Network-Based Differential Diagnosis Assessment Instrument

1994 ◽  
Vol 10 (3) ◽  
pp. 277-290
Author(s):  
F. J. Papa ◽  
R. C. Stone ◽  
D. G. Aldrich
Keyword(s):  
Neural Network ◽  
Artificial Intelligence ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Construct Validity ◽  
Acute Chest Pain ◽  
Knowledge Bases ◽  
Convincing Evidence ◽  
Assessment Instrument ◽  
Non Linear

Medical educators have been unable to produce convincing evidence of the construct validity of written or simulation-based assessments of differential diagnosis (DDX) competencies. In 1987, a team of investigators at our institution introduced preliminary reports regarding the psychometric properties of an artificial intelligence-derived DDX assessment instrument. These investigations produced evidence of the construct validity (experts' DDX performance > novices') of the measures derived from this instrument, a linear, fuzzy set-like expert system. In this investigation, the authors used a non-linear, “Back Propagation” neural network as a DDX assessment instrument. An Acute Chest Pain knowledge base was acquired from each of twenty-four board certified emergency medicine specialists and seventy-four junior and senior medical students. The neural network used these knowledge bases to simulate and assess each subject's individual DDX performance against twenty Acute Chest Pain/Myocardial Infarction test cases. Student-t test revealed that the DDX performance of experts was significantly superior to novices ( p < .001). This finding provides converging evidence of the validity of DDX performance measures produced by both linear and non-linear, artificial intelligence-derived assessment instruments. These instruments may prove to be a useful and powerful new assessment methodology.

Acute chest pain

2018 ◽  
Author(s):  
Jonathan Timperley ◽  
Sandeep Hothi
Keyword(s):  
Differential Diagnosis ◽  
Chest Pain ◽  
Diagnostic Tests ◽  
Acute Chest Pain

This chapter discusses acute chest pain, including definitions, differential diagnosis, context, approach to diagnosis, specific clues to the diagnosis, key diagnostic tests, treatment and therapy, prognosis, and how to handle uncertainty in the diagnosis of the symptom.

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