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Symptoms ⭐️
Exams ⭐️
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Walk-in
Injections
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Cardiology
- Chest pain
- Heart failure Hx
- Leg swelling Plan
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ACEP patient handouts
Nate Friedman, MD
EM Resource.org
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Chest pain

‍‍Patient complains of ‍area﻿ ‍chest pain﻿ over the last ‍ ﻿ ‍days﻿, which began ‍context﻿. 
‍‍The pain is ‍intensity﻿ and described as ‍type﻿.
‍‍It radiates to the ‍back﻿ ‍jaw﻿ ‍left arm﻿ ‍right arm﻿. 
‍‍It is worse with ‍﻿.
‍‍Relieved with ‍rest﻿ ‍TNT ﻿ ‍food﻿ ‍antacid﻿.
‍‍Other symptoms are: ‍No/Vo﻿ ‍diaphoreseis﻿ ‍orthopnea﻿ ‍PND﻿ 
‍‍﻿‍Good tolerance to effort﻿ 
‍‍Cardiac risk factors: ‍none﻿ ‍smoking﻿ ‍diabetes﻿ ‍cholesterol﻿ ‍HTN﻿ ‍FHx of CAD﻿ ‍sedentary﻿ 
‍‍﻿‍cough﻿ ‍sputum﻿ ‍fever﻿ 
‍‍﻿‍thrombophilia﻿ ‍immobilisation﻿ ‍leg pain/edema﻿ ‍trauma﻿ 
‍‍﻿‍heartburns﻿ ‍gastrointestinal symptoms﻿ 
‍‍﻿
‍‍﻿
‍‍﻿
‍‍A/P: ‍atypical chest pain﻿ 
‍‍Rule out: ‍﻿ 
‍‍﻿
‍‍﻿‍ASA 80 mg﻿ ‍NTG spray 0.4mg﻿ ‍NSAID﻿ 
‍‍﻿‍Chest XR﻿ 
‍‍﻿‍Cardiology referral﻿ ‍Refered to ED﻿ 

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