Assessment of Chest Discomfort: How Various Types of Chest Pain Differ

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nikkiknak
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47706
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Assessment of Chest Discomfort: How Various Types of Chest Pain Differ
Updated:
2010-11-06 16:24:21
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Assessment Chest Discomfort How Various Types Chest Pain Differ
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Assessment of Chest Discomfort: How Various Types of Chest Pain Differ
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  1. ANGINA
    • ONSET:
    • sudden. usually in response to emotion, exertion, or extremes, in temperature

    • QUALITY AND SEVERITY:
    • squeezing, vise-like pain

    • LOCATION AND RADIATION:
    • substernal; may spread across the chest and the back, and/or down the arms
  2. MYOCARDIAL INFARCTION
    • ONSET:
    • sudden, without precipitating factors, often in early morning

    • QUALITY AND SEVERITY:
    • intense stabbing; vise-like pain or pressure; severe

    • LOCATION AND RADIATION:
    • substernal; may spread throughout anterior chest and to the arms, jaw, back, or neck
  3. PERICARDITIS
    • ONSET:
    • sudden

    • QUALITY AND SEVERITY:
    • sharp, stabbing, moderate to severe

    • LOCATION AND RADIATION:
    • substernal; usually spreads to the left side or back
  4. PLEUROPULMONARY
    • ONSET:
    • variable

    • QUALITY AND SEVERITY:
    • moderate ache; worse on inspiration

    • LOCATION AND RADIATION:
    • lung fields
  5. ESOPHAGEAL-GASTRIC
    • ONSET:
    • variable

    • QUALITY AND SEVERITY:
    • squeezing, heartburn; variable severity

    • LOCATION AND RADIATION:
    • substernal; may spread to the shoulders or abdomen
  6. ANXIETY
    • ONSET:
    • variable; may be in response to stress or fatigue

    • QUALITY AND SEVERITY:
    • dull ache to sharp stabbing; may be associated with numbness in fingers

    • LOCATION AND RADIATION:
    • usually the Left side of chest without radiation

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