Alexander Mel 😷 🇵🇬

General surgery consultant

[MedicoNotes @MedicoNotes]

🫀 CHEST PAIN: 7 Causes You Must Never Miss

Chest pain is one of the most common medical emergencies. The challenge is identifying life-threatening causes quickly.

❤️ 1️⃣ STEMI
• Crushing central chest pain
• Radiation to arm/jaw
• Associated sweating & nausea

🩸 2️⃣ Aortic Dissection
• Sudden “tearing” chest pain
• Radiates to the back
• BP difference between arms

🫁 3️⃣ Pulmonary Embolism
• Pleuritic chest pain
• Dyspnea & tachycardia
• Risk factors: DVT, surgery, immobility

❤️ 4️⃣ Pericarditis
• Sharp pleuritic pain
• Worse lying flat
• Better leaning forward

🫁 5️⃣ Pneumothorax
• Sudden pleuritic chest pain
• Breathlessness
• Reduced breath sounds

🔥 6️⃣ GERD
• Burning retrosternal discomfort
• Worse after meals or lying down
• Improves with antacids

🦴 7️⃣ Costochondritis
• Localized chest wall pain
• Reproducible on palpation

🚩 Red Flags
• Severe sudden pain
• Shortness of breath
• Syncope
• Hypotension
• Radiation to arm, jaw, or back

💎 Exam Pearl:
Always exclude STEMI, Aortic Dissection, PE, Pneumothorax, and Pericarditis before considering benign causes.

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🌐 Visit our website: https://t.co/2UQyCbb6in

#Cardiology #ChestPain #ECG #MRCP #MedicoNotes

[Keith Siau @drkeithsiau]

Here you go!

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When placing lines, I often see residents twisting and contorting themselves into awkward positions in order to be able to poke with their R hand.

Instead: Learn to use your LEFT hand when it's easier.

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💾 Save this video for your next clinical encounter.
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Save this face and thank me later