Chest Pain

Chest Pain By Iman Noufal Amb.Nsg. /UCU

Chest Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction

Chest Pain ,[object Object],Introduction

Chest Pain ,[object Object],Definition

Chest Pain ,[object Object],Definition Chest pain is discomfort or pain that the patient feels anywhere along the front of the body between the neck and upper abdomen.

Chest Pain ,[object Object],[object Object],Definition Many people with chest pain fear a heart attack, but there are many possible causes of chest pain.

Chest Pain Causes of Chest Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]

Chest Pain ,[object Object],Causes of Chest Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]

Heart Disease ,[object Object],Coronary Artery Disease (Angina) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Heart Disease ,[object Object],Heart Attack (MI) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Heart Disease ,[object Object],Heart Valve Disease. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Heart Disease ,[object Object],Heart Muscles Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Heart Disease Aortic Dissection ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Pneumonia Inflammation

[object Object],Pneumonia ,[object Object],[object Object],[object Object],[object Object],Inflammation

[object Object],Pleurisy ,[object Object],[object Object],[object Object],[object Object],Inflammation Inflammation of the outside lining of the lungs.

[object Object],Pericarditis Inflammation

[object Object],Pericarditis ,[object Object],[object Object],[object Object],Inflammation

[object Object],Pericarditis ,[object Object],[object Object],[object Object],[object Object],Inflammation

[object Object],Pericardial Effusion Inflammation

[object Object],Pericardial Effusion ,[object Object],[object Object],Inflammation

[object Object],Bronchial Asthma Inflammation

[object Object],Bronchial Asthma ,[object Object],[object Object],[object Object],Inflammation

Chest Pain ,[object Object],Causes of Chest Pain ,[object Object],[object Object],[object Object],[object Object]

[object Object],Heartburn ,Oesophageal Reflux Digestive System Problems

[object Object],Heartburn or Oesophageal Reflux ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Digestive System Problems

[object Object],Heartburn or Oesophageal Reflux Digestive System Problems

[object Object],[object Object],Heartburn or Oesophageal Reflux Is it Heartburn or Heart Attack? Also, if the patient has a history of heart problems or is a risk factor for heart attack e.g., has a family history of heart disease, diabetes, hypertension, is a cigarette smoker, is obese, or is of advanced age, it is more likely to be a heart attack. Digestive System Problems

[object Object],Heartburn or Oesophageal Reflux Digestive System Problems Heart Burn Angina or Heart Attack Sharp, burning sensation below the breast bone or ribs. 1 Feeling of fullness, tightness or dull pressure in the center of the chest Pain does not radiate to the shoulders, neck or arms. 2 Pain radiating to the shoulders, neck, jaw or arms. Pain comes after meals when lying on the back or when doing exercise. 3 Sudden chest pain or pressure that worsens. Symptoms respond QUICKLY to antacids. 4 Pain often responds quickly to nitroglycerin. Rarely accompanied by cold and sweat. 5 Usually accompanied by cold and sweat.

[object Object],Oesophageal Spasm Digestive System Problems

[object Object],Oesophageal Spasm ,[object Object],[object Object],[object Object],Digestive System Problems

[object Object],Gall Bladder Disease Digestive System Problems

[object Object],Gall Bladder Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Digestive System Problems

[object Object],Peptic Ulcer An ulcer in the stomach is called GASTRIC ULCER, an ulcer in the duodenum is called DUODENAL ULCER. Stomach & duodenal ulcer together, are referred to as a PEPTIC ULCER. Digestive System Problems

[object Object],Peptic Ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Digestive System Problems

[object Object],Chest Pain Causes of Chest Pain Characterized by repeated episodes of intense anxiety & fear that occur with or without warning or identifiable causes . Panic attacks are often accompanied by chest pain, caused by muscle contractions in the chest wall.

Anxiety or Panic Disorder PAIN ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Chest Pain ,[object Object],Causes of Chest Pain Chest trauma of any type can cause chest pain by causing a rib fracture, muscle strain or contusion.

Recent Chest Trauma ,[object Object],[object Object],[object Object],[object Object],PAIN

Chest Pain Patient Care Guidelines ( EMS-8) ,[object Object],[object Object],[object Object]

Patient Care Guidelines ( EMS-8) ,[object Object],[object Object],[object Object],Triage Assessment

Triage Assessment Initial Observation ,[object Object],[object Object],[object Object]

Triage Assessment Subjective Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Triage Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Subjective Assessment

Triage Assessment ,[object Object],[object Object],Subjective Assessment

Triage Assessment Objective assessment ,[object Object],[object Object],[object Object],[object Object]

Chest Pain Nursing Actions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chest Pain Evaluation ,[object Object],[object Object]

Chest Pain Any organ or tissue in the chest can be the source of pain, including the Heart, Lungs, Oesophagus, Muscles, Ribs, Tendons, or Nerves. Summary

Chest Pain The Physical Examination Summary The physical examination will focus on the chest wall, lungs and heart. The doctor or nurse may ask questions like the following:

Summary The Physical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],The Physical Examination

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostic Tests

Summary More complex tests may be required depending on the difficulty of diagnosis or the suspected cause of the chest pain Diagnostic Tests

Chest Pain References www.webmed.com www.heartdisease.about.com www.health.discovery.com www.health.yahoo.com www.heartcenteronline.com www.e_manual.aramco.com.sa www.mayo clinic.com

Chest Pain

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