Acute chest pain of cardiovascular aetiology: a diagnostic dilemma

Acute chest pain of cardiovascular aetiology: a diagnostic dilemma.

A 61-year-old gentleman was admitted to his local hospital with a 5-h history of central chest pain. He was an ex-smoker with no other cardiac risk factors or history of ischaemic heart disease. ECG on presentation demonstrated ST elevation in leads 1 and aVL consistent with acute myocardial infarction (MI) and he was therefore thrombolysed with tenecteplase. Following thrombolysis, his ST segm...

Diagnostic dilemma of a case of chest pain.

Diagnostic yield of routine noninvasive cardiovascular testing in low-risk acute chest pain patients.

Contemporary professional society recommendations for patients presenting to the emergency department with acute chest pain and low clinical risk encourage noninvasive testing for coronary artery disease (CAD) before, or shortly after, discharge from the emergency department. Recent reports indicate that a strategy of universal testing has a low diagnostic yield and may not be necessary. We exa...

Acute myocarditis: a diagnostic dilemma.

Myocarditis, an inflammatory process affecting the myocardium, may be caused by any bacterial, viral, rickettsial, mycotic, or parasitic organism. In Europe and in the United States, however, most cases of acute myocarditis seem to be caused by viruses. It is often difficult to prove the viral aetiology in cases of myocarditis and such cases are often referred to as idiopathic myocarditis. The ...

Phantom Tooth Pain: A Diagnostic Dilemma

Diagnosis is essentially the appraisal of the nature of a disease, based on the study of signs and symptoms. Patients with chronic oral or facial pain often present a diagnostic challenge to the practitioner. This paper is on the diagnosis and management of a case of chronic pain in the maxillary anterior region. The final diagnosis was made as phantom tooth pain. This case report illustrates t...