A patient presenting with collapse and breathlessness

2015 ◽  
Vol 14 (4) ◽  
pp. 193-194
Author(s):  
Shelley Raveendran ◽  
Katy Kyprianou ◽  
Kypros Zenonos ◽  
Sanjay Saraf ◽  
◽  
...  
Keyword(s):  
Heart Rate ◽  
Chest Pain ◽  
Respiratory Rate ◽  
Shortness Of Breath ◽  
Medical Unit ◽  
Acute Medical Unit

A 57-year-old man was admitted to the Acute Medical Unit with an episode of collapse following chest pain and shortness of breath. On examination he was tachycardic, and tachypnoeic with a heart rate of 120 beats per minute and a respiratory rate of 30.

scholarly journals Dissecting the Diagnosis – An Unusual Case of Pericarditis

2017 ◽  
Vol 16 (4) ◽  
pp. 200-203
Author(s):  
Louise Mundy ◽  
◽  
Purav Desai ◽  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Unusual Case ◽  
Correct Diagnosis ◽  
Timely Manner ◽  
Medical Unit ◽  
Coronary Syndrome ◽  
Acute Medical Unit

Chest pain is an extremely common presenting complaint on the acute medical unit. It is important to distinguish between patients who have serious pathology and those without. Often, the focus is on ruling out an acute coronary syndrome and inadequate consideration is given to other possible causes. This case highlights the importance of performing relevant investigations in a timely manner, in order to ensure that a correct diagnosis is made.

Cardiac stress tests – which one should I choose?

2010 ◽  
Vol 9 (1) ◽  
pp. 3-7
Author(s):  
Dhrubo Rakhit ◽  
◽  
Catherine Blakemore ◽  
Keyword(s):  
Chest Pain ◽  
Stress Tests ◽  
Stress Imaging ◽  
Common Cause ◽  
Medical Unit ◽  
Cardiac Stress ◽  
Acute Medical Unit ◽  
Basic Understanding

Chest pain is a common cause of presentation to the Acute Medical Unit and the use of cardiac stress imaging in these patients is becoming more widespread. This article aims to provide Acute Physicians with a basic understanding of the different modalities and how to select a particular test for a given patient.

scholarly journals A patient with palpitations

2014 ◽  
Vol 13 (4) ◽  
pp. 182-182
Author(s):  
Legate Philip ◽  
◽  
Kristel Longman ◽  
Neil Andrews ◽  
◽  
...  
Keyword(s):  
Chest Pain ◽  
Exercise Tolerance ◽  
Medical Unit ◽  
The Past ◽  
Acute Medical Unit

A 52 year old woman presented to the Acute Medical Unit with her 4th episode of palpitations in the past four weeks. Each episode was similar in nature and described as being acute in onset, fast and regular, associated with pre-syncope but never syncope or chest pain. The episodes lasted for 30 – 45 minutes and would self terminate. Of particular note, the episodes were not associated with exertion and she had a normal exercise tolerance.

scholarly journals An unusual cause of ‘musculoskeletal’ chest pain

2009 ◽  
Vol 8 (3) ◽  
pp. 111-113
Author(s):  
Nigel Lane ◽  
◽  
Adrian Mackie ◽  
Seema Srivastava ◽  
◽  
...  
Keyword(s):  
Chest Pain ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Lower Respiratory Tract ◽  
Joint Infection ◽  
Sternoclavicular Joint ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Unusual Condition

Chest pain is a frequent cause of admission to an acute medical unit. In most cases the cause is initially considered to be either cardiac or respiratory, with musculoskeletal causes being considered a benign diagnosis of exclusion. We report a case of sternoclavicular joint infection, treated initially as a lower respiratory tract infection. The investigation and treatment of this unusual condition are discussed.

A Chest X-Ray causing confusion

2019 ◽  
Vol 18 (2) ◽  
pp. 120-120
Author(s):  
Timea Novak ◽  
◽  
Catherine Strait ◽  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Alendronic Acid ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Medical Unit ◽  
X Ray ◽  
Acute Medical Unit ◽  
History Of ◽  
Chest X Ray ◽  
Irritable Bowel

A 91-year old female presented to Acute Medical Unit with a 2 week history of shortness of breath and haemoptysis. Her past medical history included osteoporosis, depression, irritable bowel syndrome, asthma, cataracts, and a colonic polypectomy. Her medications: Citalopram 10 mg, Co-codamol, Beclomethasone 200 mcg inhaler, Salbutamol MDI inhaler, Omeprazole 20 mg and Alendronic acid. She was an ex-smoker with a 20-pack year history who had stopped smoking 40-years ago. She did not drink alcohol and lived alone independently.

Nylidrin (Arlidin) Poisoning

PEDIATRICS ◽  
1974 ◽  
Vol 53 (4) ◽  
pp. 570-571
Author(s):  
Charles J. Coté
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Chest Pain ◽  
Physical Examination ◽  
Diastolic Pressure ◽  
Signs And Symptoms ◽  
Coronary Perfusion ◽  
Shortness Of Breath ◽  
Peripheral Vascular ◽  
Receptor Stimulation

A 14-year-old female ingested 60 to 120 mg of nylidrin and 1 to 2 gm of chlorothiazide. She later developed chest pain, headache, flushing and shortness of breath. The initial heart rate was 156 and the blood pressure 125/0 mm Hg. The remainder of her physical examination was normal. Over six hours the diastolic pressure and heart rate returned to normal. The signs and symptoms were consistent with toxic effects of beta-receptor stimulation causing decreased peripheral vascular resistance, fall in end-diastolic blood pressure, and poor coronary perfusion.

INDEX OF SUSPICION

1995 ◽  
Vol 16 (9) ◽  
pp. 349-351
Author(s):  
Sanjiv B. Amin ◽  
Jeffrey M. Devries ◽  
Patricia McQuilkin ◽  
Nathalie Quion ◽  
Thomas G. DeWitt
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Chest Pain ◽  
Early Diagnosis ◽  
Physical Examination ◽  
Respiratory Rate ◽  
General Pediatrician ◽  
Difficulty Breathing ◽  
Case Presentations

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation A 15-year-old girl comes to your office complaining that she has experienced intermittent, sudden episodes of chest pain, fatigue, palpitations, and sensations of difficulty breathing and lightheadedness for 2 months. These episodes occur several times daily and are unaccompanied by other symptoms such as syncope, wheezing, swelling of the extremities, or fever. She denies being worried, but reports that her parents are very frightened because a 16-year-old male cousin died recently while playing soccer, and two other relatives, a 27-year-old cousin and a 29-year-old uncle, died suddenly during exercise. The physical examination reveals a somewhat anxious girl complaining of mild precordial chest pain. Her temperature is 36.9°C(98.4°F) orally, respiratory rate is 16 breaths/min, heart rate is 110 beats/min, and blood pressure is 100/60 mm Hg; weight and height are at the 75th percentile.

scholarly journals Picture Quiz: An Acute, Blue, Swollen, Painful Leg

2012 ◽  
Vol 11 (4) ◽  
pp. 234-234
Author(s):  
R Honney ◽  
◽  
J Bhullar ◽  
P Swales ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Venous Thromboembolism ◽  
Chest Pain ◽  
Bowel Habit ◽  
Recreational Drugs ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
History Of ◽  
History Of Pain ◽  
Previous Medical History

A 55 year old male presented to the Acute Medical Unit with a one hour history of pain and swelling of his right leg with resultant inability to weight bear. He denied any preceding history of trauma. Previous medical history was unremarkable. He was taking no regular medications, and did not use recreational drugs. There was no prior weight change, or alteration in bowel habit, no associated chest pain or dyspnoea and there were no risk factors for venous thromboembolism or arterial thrombotic disease. He was a lifelong non-smoker.

The influence of osteopathic correction on the rate of various rhythms of the body

2019 ◽  
pp. 64-71 ◽  
Author(s):  
A. E. Chernikova ◽  
Yu. P. Potekhina
Keyword(s):  
Heart Rate ◽  
Respiratory Rate ◽  
Age Groups ◽  
Biomechanical Properties ◽  
Dispersion Analysis ◽  
The Body ◽  
Body Tissues ◽  
Age Related ◽  
Significant Difference ◽  
Before And After

Introduction. An osteopathic examination determines the rate, the amplitude and the strength of the main rhythms (cardiac, respiratory and cranial). However, there are relatively few studies in the available literature dedicated to the influence of osteopathic correction (OC) on the characteristics of these rhythms.Goal of research — to study the influence of OC on the rate characteristics of various rhythms of the human body.Materials and methods. 88 adult osteopathic patients aged from 18 to 81 years were examined, among them 30 men and 58 women. All patients received general osteopathic examination. The rate of the cranial rhythm (RCR), respiratory rate (RR) heart rate (HR), the mobility of the nervous processes (MNP) and the connective tissue mobility (CTM) were assessed before and after the OC session.Results. Since age varied greatly in the examined group, a correlation analysis of age-related changes of the assessed rhythms was carried out. Only the CTM correlated with age (r=–0,28; p<0,05) in a statistically significant way. The rank dispersion analysis of Kruskal–Wallis also showed statistically significant difference in this indicator in different age groups (p=0,043). With the increase of years, the CTM decreases gradually. After the OC, the CTM, increased in a statistically significant way (p<0,0001). The RCR varied from 5 to 12 cycles/min in the examined group, which corresponded to the norm. After the OC, the RCR has increased in a statistically significant way (p<0,0001), the MNP has also increased (p<0,0001). The initial heart rate in the subjects varied from 56 to 94 beats/min, and in 15 % it exceeded the norm. After the OC the heart rate corresponded to the norm in all patients. The heart rate and the respiratory rate significantly decreased after the OC (р<0,0001).Conclusion. The described biorhythm changes after the OC session may be indicative of the improvement of the nervous regulation, of the normalization of the autonomic balance, of the improvement of the biomechanical properties of body tissues and of the increase of their mobility. The assessed parameters can be measured quickly without any additional equipment and can be used in order to study the results of the OC.

PENGARUH TINDAKAN MOBILISASI DINI TERHADAP DENYUT JANTUNG DAN FREKUENSI PERNAPASAN PADA PASIEN KRITIS DI ICU RSUD SLEMAN YOGYAKARTA

2019 ◽  
Vol 5 (3) ◽  
pp. 213-223
Author(s):  
Muhamat Nofiyanto ◽  
Tetra Saktika Adhinugraha
Keyword(s):  
Heart Rate ◽  
Respiratory Rate ◽  
Early Mobilization ◽  
Critical Conditions ◽  
P Value ◽  
Cardiorespiratory Function ◽  
Arterial Blood ◽  
Post Test ◽  
Critical Patients ◽  
Security Standards

Background: Patients with critical conditions in the ICU depend on a variety of tools to support their lifes. Patients’ conditions and and their unstable hemodynamic are challenges for nurses to perform mobilization. Less mobilization in critical patients can cause a variety of physical problems, one of them is cardiorespiratory function disorder. Objective: to investigate differences in heart rate (HR) and respiratory rate (RR) before, during, and immediately after early mobilization. Methods: This study employed quasi experiment with one group pre and post test design. Twenty four respondents were selected based on the criteria HR <110 / min at rest, Mean Arterial Blood Pressure between 60 to 110 mmHg, and the fraction of inspired oxygen <0.6. Early mobilization was performed to the respondents, and followed by assessments on the changes of respiratory rate and heart rate before, during, and immediately after the mobilization. Analysis of differences in this study used ANNOVA. Results: Before the early mobilization, mean RR was 22.54 and mean HR was 78.58. Immediately after the mobilization,  mean RR was 23.21 and mean HR was 80.75. There was no differences in the value of RR and HR, before and immediately after the early mobilization with the p-value of 0.540 and 0.314, respectively. Conclusions: Early mobilization of critical patients is relatively safe. Nurses are expected to perform early mobilization for critical patients. However, it should be with regard to security standards and rigorous assessment of the patient's conditions. Keywords: Early mobilization, critical patients, ICU

Sign in / Sign up

Export Citation Format

Share Document