Acute chest pain and breathlessness in a haemodialysis patient

Chest pain and pseudoclubbing in a haemodialysis patient

A 28-year-old lady with end-stage renal failure on intermittent haemodialysis for 6 years complained of a constant right-sided chest pain. She was diagnosed to have Epstein syndrome in childhood characterized by macrothrombocytopathy, nephritis and sensory-neural deafness. The course of her renal failure was complicated by recurrent bleeding diathesis and poor compliance to medications leading ...

Acute breathlessness and chest pain following a harsh bout of coughing.

Tension pneumothorax is a potentially life-threatening medical emergency that is routinely encountered by family physicians in the course of their busy medical practice. A high index of clinical suspicion, when accompanied by good interpretation of chest radiographs, results in prompt diagnosis and rapid management in these cases. We report a case of right-sided tension pneumothorax that had ty...

CHEST PAIN IN CHILDREN A PROSPECTIVE STUDY

Thirty five children with a primary complaint of chest pain were prospectively studied. The average age was 9.7 years for boys and 8. 9 years for girls 60% were male. The most frequently diagnosed cause was psychogenic (54.2%). Forty percent of the patients were classified as having idiopathic chest pain. Precordial pain was encountered in 2. 9%), along with costochondritis and mitral val...

Acute chest pain and paraparesis.

Acute and Chronic Chest Pain

1. To understand the differential diagnosis of chest pain requiring cardiac surgical consultation. 2. To understand the physiology of and rationality for medical treatment of ischemic coronary artery disease. 3. To differentiate acute aortic dissection from myocardial infarction in the emergency setting. 4. To understand initial stabilization of the patient with aortic dissection. 5. To recogni...