scholarly journals Evaluation and treatment of pain in the pre-hospital setting. A comparison between patients with a hip injury, chest pain and abdominal pain

2021 ◽  
Vol 56 ◽  
pp. 100999
Author(s):  
Carl Magnusson ◽  
Marie Carlström ◽  
Nathalie Lidman ◽  
Johan Herlitz ◽  
Pär Wennberg ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Chest Pain ◽  
Hospital Setting ◽  
Hip Injury

scholarly journals Symptomatic manifestations of the disease caused by coronavirus (COVID-19) in adults: systematic review

2021 ◽  
Vol 42 (spe) ◽  
Author(s):  
Antonio Rosa de Sousa Neto ◽  
Ana Raquel Batista de Carvalho ◽  
Erika Morganna Neves de Oliveira ◽  
Rosilane de Lima Brito Magalhães ◽  
Maria Eliete Batista Moura ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominal Pain ◽  
Chest Pain ◽  
Web Of Science ◽  
Scientific Literature ◽  
Nasal Congestion ◽  
Research Question ◽  
Clinical Manifestations ◽  
Runny Nose ◽  
Cough Headache

ABSTRACT Objective To identify symptoms of COVID-19 in adults in the scientific literature. Method Systematic review of studies published from December 1, 2019 to April 21, 2020 from the Scopus, Web of Science and PubMed databases, in order to answer the following research question: “What are the symptoms caused by COVID-19 in adults?” using the keywords “Symptoms”, “Clinical Manifestations”, “Coronavirus”, “COVID-19”. Results Of the total 105 references, 13 references that addressed the symptoms of COVID-19 were selected. Fever and normal or dry cough were symptoms present in all studies. Conclusion The symptoms identified in adult patients were fever, normal or dry cough, headache, pharyngalgia, dyspnea, diarrhea, myalgia, vomiting, sputum or expectoration, anxiety or chest pain, fatigue, nausea, anorexia, abdominal pain, rhinorrhea, runny nose or nasal congestion, dizziness, chills, systemic pain, mental confusion, hemoptysis, asthma, taste disorder, smell disorder, belching and tachycardia.

Differential diagnosis of common presentations

2019 ◽  
pp. 863-890
Author(s):  
Punit S. Ramrakha ◽  
Kevin P. Moore ◽  
Amir H. Sam
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Back Pain ◽  
Chest Pain ◽  
Muscle Weakness ◽  
Joint Pain ◽  
Nausea And Vomiting ◽  
Cutaneous Manifestations ◽  
Internal Malignancy

This chapter explores the differential diagnosis of common presentations, including abdominal pain and distension, back pain, blackouts and collapse, breathlessness and dyspnoea, chest pain, confusion, constipation, cough, cutaneous manifestations of internal malignancy, diarrhoea, dysphagia, falls, fever, fits and seizures, haematemesis and melaena, haematuria, haemoptysis, headache, hemiparesis, hoarseness, itching and pruritus, joint pain and swelling, leg swelling, muscle weakness, nausea and vomiting, palpitations, tremor, unconsciousness and reduced consciousness, weak legs, and wheeze.

A Giant Intradiaphragmatic Bronchogenic Cyst: Case Report and Literature Review

2017 ◽  
Vol 103 (1_suppl) ◽  
pp. S25-S27 ◽  
Author(s):  
Xin Gao ◽  
Min Zhai ◽  
Haitao Zhang ◽  
Yunliang Wang ◽  
Jin Zhou
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Chest Pain ◽  
Literature Review ◽  
Bronchogenic Cyst ◽  
Early Embryogenesis ◽  
Congenital Lesions ◽  
Left Diaphragm ◽  
The Right ◽  
Bronchogenic Cysts

Bronchogenic cysts are congenital lesions developing during early embryogenesis. The intradiaphragmatic location is extremely rare. We present a giant bronchogenic cyst arising from the left crus of diaphragm. Based on our literature review results, intradiaphragmatic bronchogenic cysts have the following characteristics: 1) they are more common in female patients; 2) the patients are usually asymptomatic, or present with symptoms of chest pain, abdominal pain, and hiccups; 3) the cysts located in the left diaphragm are more than those in the right diaphragm, most of which are located in the area of the left diaphragm crus.

scholarly journals Anticoagulation-induced unilateral adrenal haemorrhage and pseudoaneurysm

2019 ◽  
Vol 12 (12) ◽  
pp. e232539 ◽  
Author(s):  
Yi Th'ng Seow ◽  
Zi Qin Ng ◽  
Sze Ling Wong
Keyword(s):  
Myocardial Infarction ◽  
Abdominal Pain ◽  
Chest Pain ◽  
High Morbidity ◽  
Digital Subtraction ◽  
Adrenal Haemorrhage ◽  
Previously Treated ◽  
St Elevation ◽  
High Degree ◽  
Significant Size

Spontaneous unilateral adrenal haemorrhage (AH) is extremely rare. Its presentation is usually non-specific and requires a high degree of suspicion as it is associated with high morbidity and mortality if diagnosis is delayed. Hereby, we present a case of 67-year-old man with significant cardiac history presented with right-sided chest pain and non-specific abdominal pain. He was previously treated for non-ST elevation myocardial infarction 5 days ago prior to the current presentation. CT scan of abdomen and pelvis demonstrated a right-sided active AH. The patient subsequently underwent digital subtraction angiography. Angio-embolisation was attempted for the pseudoaneurysm but failed due to spasm of the vessel. He was managed conservatively and discharged after clinical improvement. Clinic review 6 months later showed significant size reduction of the pseudoaneurysm.

Anatomy of a Rapid Access Chest Pain Clinic (RACPC) in a Metropolitan Tertiary Hospital Setting

2016 ◽  
Vol 25 ◽  
pp. S29
Author(s):  
M. Sheriff ◽  
A. Ng ◽  
S. Brazete ◽  
J. Gullick ◽  
D. Brieger ◽  
...  
Keyword(s):  
Chest Pain ◽  
Hospital Setting ◽  
Tertiary Hospital ◽  
Pain Clinic ◽  
Rapid Access

scholarly journals Diagnostic anticipation to reduce emergency department length of stay: a cohort study in Ferrara University Hospital, Italy

2020 ◽  
Author(s):  
Andrea Strada ◽  
Niccolò Bolognesi ◽  
Lamberto Manzoli ◽  
Giorgia Valpiani ◽  
Chiara Morotti ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Abdominal Pain ◽  
Chest Pain ◽  
Length Of Stay ◽  
Diagnostic Algorithm ◽  
University Hospital ◽  
Blood Tests ◽  
Traumatic Bleeding ◽  
Ed Crowding

Abstract Background : Emergency Department (ED) crowding reduces staff satisfaction and healthcare quality and safety, which in turn increase costs. Despite a number of proposed solutions, ED length of stay (LOS) - a main cause of overcrowding - remains a major issue worldwide. This cohort study was aimed at evaluating the effectiveness on ED LOS of a procedure called “diagnostic anticipation”, which consisted in anticipating the ordering of blood tests by nurses, at triage, following a diagnostic algorithm approved by physicians. Methods : In the second half of 2019, the ED of the University Hospital of Ferrara, Italy, adopted the diagnostic anticipation protocol on alternate weeks for all patients with chest pain, abdominal pain, and non-traumatic bleeding. Using ED electronic data, LOS independent predictors were evaluated through multiple regression. Results : During the weeks when diagnostic anticipation was adopted, as compared to control weeks, the mean LOS was shorter by 18.2 minutes for chest pain, but longer by 15.7 minutes for abdominal pain, and 33.3 for non-traumatic bleeding. At multivariate analysis, adjusting for age, gender, triage priority and ED crowding, the difference in visit time was significant for chest pain only (p<0.001). Conclusions : The effectiveness of the anticipation of blood testing by nurses varied by patients' condition, being significant for chest pain only. Further research is needed before the implementation, estimating the potential proportion of inappropriate blood tests and ED crowding status

Adolescent Chest Pain

PEDIATRICS ◽  
1983 ◽  
Vol 72 (6) ◽  
pp. 916-916
Author(s):  
ROBERT H. PANTELL ◽  
BENJAMIN W. GOODMAN
Keyword(s):  
Abdominal Pain ◽  
Chest Pain ◽  
Environmental Conditions ◽  
Street Drugs ◽  
Control Groups ◽  
Urine Testing

In Reply.— We did not conduct urine testing for cannabinoids but did inquire about the use of marijuana. Adolescents were questioned about use of all street drugs, including manjuana. Patients with chest pain did not admit to using drugs (5%) any more frequently than patients in our control groups with abdominal pain (8%) or without pain (4%). The above letters highlight the importance of considering the importance of psychologic, situational and environmental conditions when evaluating an adolescent with chest pain.

Doxycycline-Induced Gastric Perforation

2021 ◽  
pp. 000313482110474
Author(s):  
Yeahwa Hong ◽  
Christopher Staniorski ◽  
Dean Pollack ◽  
Steven Evans
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Chest Pain ◽  
Adverse Effects ◽  
Diagnostic Criteria ◽  
Gastric Perforation ◽  
Mucosal Injury ◽  
First Case ◽  
Life Threatening

Esophageal and gastric mucosal injuries are well-documented adverse effects of doxycycline leading to odynophagia, chest pain, and abdominal pain. There are no clear diagnostic criteria for such adverse effects; hence, the diagnosis depends heavily on thorough history. There is a paucity of literature describing life-threatening complications from doxycycline-induced mucosal injury, such as hemorrhage and perforation. We present the first case report describing a gastric perforation from doxycycline use.

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