Chest Pain & Shortness of

Breath

Omar A. Othman

5% of all ED presentation Associated with critical diagnosis

Chest Pain

Historical Points

Think about differential diagnosis before asking about

history points

Differential Diagnosis

Critical Acute coronary

syndromes (ACS), aortic dissection, pulmonary embolism

(PE), pneumothorax, Pericarditis with

tamponade esophageal rupture

Others

Valvular heart disease

Pneumomediastinum Esophageal reflux Trauma Pneumonia

Now Back to History

Age>45 yrs Hypertension Cigarette use Oral contraceptives Prolonged immobilization Pregnancy Preceded by infection Drugs

High Risk Association

Labs , assessment and

radiology Treatment

Management

Dyspnea

Dyspnea Tachypnea Hyperpnea Hyperventilation Orthopnea Paroxysmal nocturnal dyspnea

Terms

Differential Diagnosis

Duration of Dyspnea. Onset of Dyspnea. Positional Changes. Grades

History Points

Labs, Rad. And assessment

ABG Complete blood count Chemistry ECG Chest radiograph Bronchoscopy

Management

Treatment