scholarly journals Prospective Validation and Refinement of a Decision Rule to Obtain Chest X‐ray in Patients With Nontraumatic Chest Pain in the Emergency Department

2018 ◽  
Vol 25 (6) ◽  
pp. 650-656
Author(s):  
Case Newsom ◽  
Rebecca Jeanmonod ◽  
Wendy Woolley ◽  
Nirali Shah ◽  
Shellie Asher ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Decision Rule ◽  
X Ray ◽  
Chest X Ray

scholarly journals Aurea diagnosis of pneumomediastinum. A case report

2020 ◽  
Vol 14 (3) ◽  
pp. 179-183
Author(s):  
Lucio Brugioni ◽  
Francesca De Niederhausern ◽  
Chiara Gozzi ◽  
Pietro Martella ◽  
Elisa Romagnoli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Chest Pain ◽  
Correct Diagnosis ◽  
Young Male ◽  
Differential Diagnoses ◽  
Diagnostic Process ◽  
Acute Aortic Syndrome ◽  
X Ray ◽  
Chest X Ray

Pericarditis and spontaneous pneumomediastinum are among the pathologies that are in differential diagnoses when a patient describes dorsal irradiated chest pain: if the patient is young, male, and long-limbed, it is necessary to exclude an acute aortic syndrome firstly. We present the case of a young man who arrived at the Emergency Department for chest pain: an echocardiogram performed an immediate diagnosis of pericarditis. However, if the patient had performed a chest X-ray, this would have enabled the observation of pneumomediastinum, allowing a correct diagnosis of pneumomediastinum and treatment. The purpose of this report is to highlight the importance of the diagnostic process.

Validation of a clinical decision rule: chest X-ray in patients with chest pain and possible acute coronary syndrome

2014 ◽  
Vol 21 (4) ◽  
pp. 367-372 ◽  
Author(s):  
Romi Goldschlager ◽  
Hedley Roth ◽  
Jarryd Solomon ◽  
Scott Robson ◽  
Jessica Green ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Decision Rule ◽  
Clinical Decision ◽  
Clinical Decision Rule ◽  
X Ray ◽  
Coronary Syndrome ◽  
Chest X Ray

scholarly journals Delayed Upper-Airway Injury after Accidental Alkaline Ingestion

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Matthew F. Ryan ◽  
Mindy Fernandez ◽  
Karen Laauwe
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Upper Airway ◽  
Acute Injury ◽  
Upper Endoscopy ◽  
Shortness Of Breath ◽  
X Ray ◽  
Airway Injury ◽  
Chest X Ray ◽  
Alkaline Cleaning

A 62-year-old man presented to the emergency department one week after accidentally drinking an alkaline cleaning agent stored in unlabeled bottle. The day of the incident the patient presented to an outside hospital where he was admitted for an upper endoscopy of the esophagus which was found to be negative for acute injury. An initial chest X-ray taken the day of the incident was also found to be normal. After discharge the patient continued to have a sore throat and marked dysphagia which caused him to vomit repeatedly. Moreover, the patient began to develop chest pain with associated shortness of breath. We present a case of delayed airway injury and tracheal thickening and associated chest pain after alkaline ingestion and we discuss herein the pathophysiology and management of alkaline ingestions.

Chest X-Ray Yield in Patients With Isolated Chest Pain: Derivation of a Decision Rule

2013 ◽  
Vol 62 (4) ◽  
pp. S87
Author(s):  
C. Newsom ◽  
K. Weller ◽  
R. Jeanmonod ◽  
D. Jeanmonod
Keyword(s):  
Chest Pain ◽  
Decision Rule ◽  
X Ray ◽  
Chest X Ray

scholarly journals CPD - Chest pain and breathlessness

The Physician ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kassiani Iliadou
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Abdominal Discomfort ◽  
X Ray ◽  
Chest X Ray

Presentation A 74-year-old man presented to the emergency department with chest pain, breathlessness and abdominal discomfort for 2 days. His chest X-ray is given below. Can you identify the main findings in this X-ray?

scholarly journals Correction to: Chest x-ray severity score in COVID-19 patients on emergency department admission: a two-centre study

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Cristian Giuseppe Monaco ◽  
Federico Zaottini ◽  
Simone Schiaffino ◽  
Alessandro Villa ◽  
Gianmarco Della Pepa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Severity Score ◽  
X Ray ◽  
Emergency Department Admission ◽  
Centre Study ◽  
Chest X Ray

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals The Hanging Chin Sign As A Mortality Predictor In Geriatric Patients At The Emergency Department: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Anneloes NJ Huijgens ◽  
Laurens J van Baardewijk ◽  
Carolina JPW Keijsers
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Geriatric Patients ◽  
Lateral View ◽  
X Ray ◽  
Hospital Patients ◽  
Chest X Ray

Abstract BACKGROUND: At the emergency department, there is a need for an instrument which is quick and easy to use to identify geriatric patients with the highest risk of mortality. The so- called ‘hanging chin sign’, meaning that the mandibula is seen to project over one or more ribs on the chest X-ray, could be such an instrument. This study aims to investigate whether the hanging chin sign is a predictor of mortality in geriatric patients admitted through the emergency department. METHODS: We performed an observational retrospective cohort study in a Dutch teaching hospital. Patients of ≥ 65 years who were admitted to the geriatric ward following an emergency department visit were included. The primary outcome of this study was mortality. Secondary outcomes included the length of admission, discharge destination and the reliability compared to patient-related variables and the APOP screener.RESULTS: 396 patients were included in the analysis. Mean follow up was 300 days; 207 patients (52%) died during follow up. The hanging chin sign was present in 85 patients (21%). Patients with the hanging chin sign have a significantly higher mortality risk during admission (OR 2.94 (1.61 to 5.39), p < 0.001), within 30 days (OR 2.49 (1.44 to 4.31), p = 0.001), within 90 days (OR 2.16 (1.31 to 3.56), p = 0.002) and within end of follow up (OR 2.87 (1.70 to 4.84),p < 0.001). A chest X-ray without a PA view or lateral view was also associated with mortality. This technical detail of the chest x-ray and the hanging chin sign both showed a stronger association with mortality than patient-related variables or the APOP screener. CONCLUSIONS: The hanging chin sign and other details of the chest x-ray were strong predictors of mortality in geriatric patients presenting at the emergency department. Compared to other known predictors, they seem to do even better in predicting mortality.

Suggests More Tests for Chest Pain Diagnosis

PEDIATRICS ◽  
1978 ◽  
Vol 61 (1) ◽  
pp. 143-144
Author(s):  
Michael F. Elmore ◽  
Glen A. Lehman
Keyword(s):  
Chest Pain ◽  
Physical Examination ◽  
Pediatric Patients ◽  
Laboratory Studies ◽  
Psychiatric Interview ◽  
X Ray ◽  
Pain Diagnosis ◽  
Chest X Ray ◽  
Pain Characteristics ◽  
Diagnostic Work

Driscoll et al. (Pediatrics 57:648, May 1976) reported a series of 43 patients with chest pain evaluated by history and physical examination, psychiatric interview, screening laboratory studies, ECG, and chest x-ray film. No organic cause was identified in 45% of patients, and various psychiatric aspects of the pain were discussed. The history obtained from pediatric patients is often suboptimal, and specific pain characteristics and associations cannot be defined. We therefore propose that more vigorous diagnostic work-ups are necessary before chest pain can be classed as "idiopathic."

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