Chest Pain Session Discussion
Questions for Chest Pain / CommentsGENERAL
1 / How to define Acute Chest pain?
2 / What are the different diagnosis for a patient presenting with acute chest pain?
3 / What are the risk factors for cardiovascular diseases?
4 / What are the cardiac causes of chest pain other than MI?
5 / What are the non-cardiac causes of chest pain?
6 / What is Acute Coronary Syndrome?
7 / How to define ST segment elevation in acute coronary syndrome?
8 / What is unstable angina?
HISTORY
9 / What are the points to be included in taking history of a patient presenting with chest pain?
10 / What are the symptoms that indicate that the chest pain is of cardiac origin?
11 / What are the characteristics of typical and atypical pain?
12 / What are the Symptoms suggestive of an acute coronary syndrome?
13 / What are the features of cardiac pain:
CLINICAL PRESENTATION AND DIAGNOSIS
15 / What are the three principle presentations of unstable angina?
16 / What are the clinical examination of a patient presenting with chest pain?
Pulmonary embolism could be confused by acute MI. How could be distinguished from acute MI?
INVESTIGATIONS
17 / What are the investigations of a patient presenting with acute chest pain?
TREATMENT
18 / What are the initial management of a patient presenting with chest pain of MI, at PHC level?
19 / Patients are the advice to be given for use GTN sublingually, when he should seek medical advice while using GTN?
20 / What are the caution and contraindication of using sublingual GTN?
What are the management strategies for NSTEMI
21 / Case-1: A 52-years-old male who has recently been complaining of chest pain. This is the first time he has this type of chest pain. Vital signs & examination were normal.
1. What diagnosis will come to your mind first?
2. What are the points in the history you need to take?
3. What other aspect in the history you have to consider?
4. Suppose you are the only doctor in a family medicine clinic. And the nearest hospital is 45 min. from you. What are you going to do?
5. Suppose you are the house officer on call in a large hospital with all facilities available and you are the first one to see this patient in the emergency room of that hospital how will your response be different?